License holder summary

SANDRA S GREEN is a Physician licensed to practice in Indiana. The address on file for SANDRA S GREEN is BROOKFIELD WI 53005. This licensed professional license is not current. The license was granted 08/28/1980 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

SANDRA S GREEN
Physician
License number
01030308A
Date granted
08/28/1980
Date expires
06/30/2003
Class
Physician
Status
Expired Non-Renewable
Address
BROOKFIELD WI 53005
indianalicensing.org
ID 6033063
LAST UPDATED 2024-02-25 13:44:35 UTC

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