PAUL BUTLER DETWEILER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033783

License Status

NOT RENEWED

Business

First Name

PAUL BUTLER

Last Name

DETWEILER

Suffix

Business Name

PAUL BUTLER DETWEILER MD

Original Issue Date

11/29/1955

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/06/2008