Ivan Leslie Green
ActiveMichigan license 2901009700
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 2901009700
- Status
- Active
- First issued
- December 22, 1969
- Expires
- December 22, 2027
- License holder
- Ivan Leslie Green
- Entity type
- Individual
Classifications
- Dentist (Dentistry) Dental