MAZHAR MASUD BUTT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

MAZHAR

Middle

MASUD

Last Name

BUTT

Business Name

MAZHAR MASUD BUTT

Original Issue Date

01/25/1983

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2024