ROSS WAYNE GREEN DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005502

License Status

ACTIVE

Business

First Name

ROSS

Middle

WAYNE

Last Name

GREEN

Suffix

DPM

Business Name

ROSS WAYNE GREEN DPM

Original Issue Date

08/18/2011

Effective Date

01/24/2025

Expiration Date

01/31/2027

City

CLAREMORE

State

Zip

74019

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

02/26/2025