BLAKE MILAN BUTLER MD - Medical Doctor License in Illinois | # 125066549

BLAKE MILAN BUTLER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066549

License Status

EXPIRED

Business

N

Title

MD

First Name

BLAKE

Middle

MILAN

Last Name

BUTLER

Business Name

BLAKE MILAN BUTLER MD

Original Issue Date

06/23/2018

Effective Date

06/23/2018

Expiration Date

06/22/2019

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

10/02/2019