TERROLD BERNARD BUTLER MD - Medical Doctor License in Illinois | # 036057795

TERROLD BERNARD BUTLER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057795

License Status

NOT RENEWED

Business

N

First Name

TERROLD

Middle

BERNARD

Last Name

BUTLER

Suffix

MD

Business Name

TERROLD BERNARD BUTLER MD

Original Issue Date

09/15/1978

Effective Date

05/27/2008

Expiration Date

07/31/2011

State

IL

Ever Disciplined

Y

LastModifiedDate

11/14/2011

Case Number

1997000643

Action

Probation

Discipline Start Date

05/21/1998

Discipline End Date

03/20/2008

Discipline Reason

Outstanding income tax liability.