MARY K C BUETOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040299

License Status

NOT RENEWED

Business

First Name

MARY K C

Last Name

BUETOW

Suffix

Business Name

MARY K C BUETOW MD

Original Issue Date

05/23/1966

Effective Date

05/14/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/30/2023