OPAL W GREEN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002008

License Status

NOT RENEWED

Business

First Name

OPAL W

Last Name

GREEN

Business Name

OPAL W GREEN

Original Issue Date

07/20/1950

Effective Date

07/20/1950

City

CONNERSVILLE

State

Zip

47331

County

INDIANA

Ever Disciplined

LastModifiedDate

09/25/2006