License Directory

Kenneth R Green Md

Expired

Illinois license 036048482

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036048482
Status
Expired (Not Renewed)
First issued
December 12, 1973
License holder
Kenneth R Green Md
Entity type
Individual

Classifications

More from the license record

Current term began
12/12/1973

Other Illinois licenses under this name

  • IL
    Kenneth R Green Md
    License 33*****85
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Expired Jan 1, 1997

Contact

Syracuse, NY 13202
New York County