License holder summary

DOUGLAS O GREEN is a Board Of Medicine licensed to practice in Idaho. The address on file for DOUGLAS O GREEN is 1834 B 27th Ave NW Olympia WA 98502. This licensed professional license is not current. The license was granted 02/15/1992 and expired on 06/30/2000.

Idaho

Division of Occupational and Professional Licenses

DOUGLAS O GREEN
Board Of Medicine
License number
M-5957
Date granted
02/15/1992
Date expires
06/30/2000
Class
Board Of Medicine
Status
Canceled
Address
1834 B 27th Ave NW Olympia WA 98502
idaholicensing.com
ID 48347023
LAST UPDATED 2024-01-28 08:57:03 UTC

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