GREGORY N GREEN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

GREGORY N

Last Name

GREEN

Business Name

GREGORY N GREEN

Original Issue Date

09/23/1983

Effective Date

09/23/1983

Expiration Date

01/31/1989

City

ST LOUIS

State

Zip

63101

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006