KEVIN JOSEPH BUTLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

First Name

KEVIN JOSEPH

Last Name

BUTLER

Suffix

DDS

Business Name

KEVIN JOSEPH BUTLER DDS

Original Issue Date

10/20/1987

Effective Date

10/20/1987

Expiration Date

09/30/1988

City

ASTORIA

State

Zip

61501

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005