License holder summary

GEORGE RICHARD GREEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GEORGE RICHARD GREEN is 54720 MERRIFIELD DRIVE, MISHAWAKA IN 46545. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

GEORGE RICHARD GREEN
Controlled Substance Registration - Physician
License number
01017722B
Date granted
01/31/1986
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
54720 MERRIFIELD DRIVE, MISHAWAKA IN 46545
indianalicensing.org
ID 5894963
LAST UPDATED 2024-04-04 11:06:06 UTC

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