License holder summary

IVAN LESLIE GREEN is a Dentistry - Dentist licensed to practice in Michigan. This medical licensee license is current. The license was granted 12/22/1969 and expired on 08/31/2018.

Department of Licensing and Regulatory Affairs

Board of Medicine

IVAN LESLIE GREEN
Dentistry - Dentist
License number
2901009700
Date granted
12/22/1969
Date expires
08/31/2018
Class
Dentistry - Dentist
Status
Active
Address
michiganmedical.net
ID 38898825
LAST UPDATED 2024-03-18 06:39:05 UTC

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