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Licensee Name Licensee Name JONATHAN STANLEY GREEN
Primary License Status Code RENEWED/CURRENT | ENFORCEMENT
Secondary License Status Code ENF AGREEMENT | PUBLIC REP
License Number G54266
License Type G
Address 220 HACIENDA BLVD BLG D
City State Zip CAMPBELL CA 95008
Country USA
Original License Date 02/04/1985
License Expiration Date 11/30/2004
Medical School STANFORD UNIVERSITY SCHOOL OF MEDICINE
Year Graduated 1983
Effective Date of Agreement 05/30/2000
Agreement Terms: 12/05/00-COMPLIED WITH AGREEMENT TERMS INCLUDING COMPLETING PHYSICIAN ASSESSMENT & CLINICAL EDUCATION PROGRAM & $3000 COST RECOVERY TO BOARD
Disclaimer: THE MEDICAL BOARD'S PUBLIC DISCLOSURE SCREENS ARE UPDATED PERIODICALLYAS NEW INFORMATION BECOMES AVAILABLE. PLEASE CONTACT THE CENTRAL FILEROOM AT (916) 263-2525 OR AT 1426 HOWE AVENUE, SUITE 54, SACRAMENTO, CA 95825,TO OBTAIN A COPY OF PUBLIC DOCUMENTS AT A MINIMAL CHARGE.
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Note: data current as of: 10/08/2002
Licensee Name JONATHAN STANLEY GREEN
Primary License Status Code RENEWED/CURRENT | ENFORCEMENT
Secondary License Status Code ENF AGREEMENT | PUBLIC REP
License Number G54266
License Type G
Address 220 HACIENDA BLVD BLG D
City State Zip CAMPBELL CA 95008
Country USA
Original License Date 02/04/1985
License Expiration Date 11/30/2004
Medical School STANFORD UNIVERSITY SCHOOL OF MEDICINE
Year Graduated 1983
Effective Date of Agreement 05/30/2000
Description of Action: PUBLIC REPRIMAND ORDERED ON 05/30/2000. PUBLIC
REPRIMAND ISSUED ON 12/13/2000.
Disclaimer: THE MEDICAL BOARD'S PUBLIC DISCLOSURE SCREENS ARE UPDATED
PERIODICALLYAS NEW INFORMATION BECOMES AVAILABLE. PLEASE CONTACT THE
CENTRAL
FILEROOM AT (916) 263-2525 OR AT 1426 HOWE AVENUE, SUITE 54,
SACRAMENTO,
CA 95825, TO OBTAIN A COPY OF PUBLIC DOCUMENTS AT A MINIMAL CHARGE.
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Note: data current as of: 10/08/2002