FIDELIA Y BUTT - Medical Doctor License in Illinois | # 125028965

FIDELIA Y BUTT

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028965

License Status

EXPIRED

Business

N

First Name

FIDELIA

Middle

Y

Last Name

BUTT

Business Name

FIDELIA Y BUTT

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

06/29/1995

State

IL

Specialty/Qualifier

Otolaryngology

Ever Disciplined

N

LastModifiedDate

09/22/2006