Kelly P Green
InactiveIllinois license 34*****24
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 34*****24
- Status
- Inactive
- First issued
- April 8, 1996
- Expired
- March 31, 2004
- License holder
- Kelly P Green
- Entity type
- Individual
Classifications
- Optometrist Controlled Substance (Optometry) Vision & Hearing
More from the license record
- Specialty
- Practitioner
- Controlled substance schedules
- IV
- Current term began
- 03/24/2004
Other Illinois licenses under this name
-
IL
InactiveSpringfield, MOExpired Mar 31, 2004
-
IL
ExpiredCanton, ILExpired Mar 31, 1998
-
IL
ExpiredKewanee, ILExpired Mar 31, 1998
-
IL
ExpiredGalesburg, ILExpired Mar 31, 1998
Contact
Springfield, MO 65802
Missouri County