GREGORY N GREEN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003546

License Status

NOT RENEWED

Business

First Name

GREGORY N

Last Name

GREEN

Business Name

GREGORY N GREEN

Original Issue Date

06/24/1983

Effective Date

06/24/1983

Expiration Date

01/31/1989

City

ST LOUIS

State

Zip

63101

County

MISSOURI

Ever Disciplined

LastModifiedDate

08/03/2018