General Information


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General Information
  • Name:Daniel Robert Green, PA
  • Primary Specialty:
Address Information
  • Mailing Address: 550 Club Lane
  • Address 2:
  • City:Conway
  • State: AR
  • Zip:72034
  • Phone:(501) 329-1510
  • Fax:(501) 327-2495
License Information
  • License Number: PA-692
  • Original Issue Date: 02/03/2017
  • Expiration Date:06/30/2018
  • Basis: Exam
  • License Status: Active
  • License Category: Unlimited
  • License Number: PT2017-005
  • Original Issue Date: 01/27/2017
  • Expiration Date:02/03/2017
  • Basis: Exam
  • License Status: Inactive
  • License Category: Temporary
Board History
No Board Minutes on file for this licensee.
No Board Orders on file for this licensee.