NICHOLAS R BUTLER - Medical Doctor License in Illinois | # 125056824

NICHOLAS R BUTLER

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056824

License Status

CANCELLED

Business

N

First Name

NICHOLAS

Middle

R

Last Name

BUTLER

Business Name

NICHOLAS R BUTLER

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

06/10/2009