License holder summary

Jonathan R C Green is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Jonathan R C Green is St Mary's Occupational Medicine Clinic, 2330 Lynch Rd, Evansville IN 47711. This licensed professional license is not current. The license was granted 09/28/2007 and expired on 06/30/2012.

Indiana

Professional Licensing Agency

Jonathan R C Green
Controlled Substance Registration-Physician Assistant
License number
10000335B
Date granted
09/28/2007
Date expires
06/30/2012
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
St Mary's Occupational Medicine Clinic, 2330 Lynch Rd, Evansville IN 47711
indianalicensing.org
ID 8386355
LAST UPDATED 2024-04-08 02:44:42 UTC

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