License holder summary

DR. LARRY S GREEN is a Board Of Medicine licensed to practice in Idaho. The address on file for DR. LARRY S GREEN is 50 N MEDICAL DRIVE SALT LAKE CITY UT 84132. This licensed professional license is current. The license was granted 04/13/2009 and expired on 06/30/2017.

Idaho

Division of Occupational and Professional Licenses

DR. LARRY S GREEN
Board Of Medicine
License number
M-10640
Date granted
04/13/2009
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
50 N MEDICAL DRIVE SALT LAKE CITY UT 84132
idaholicensing.com
ID 48347033
LAST UPDATED 2024-03-14 20:55:13 UTC

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