KYSHARI DOMINIQUE BUTLER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171117

License Status

ACTIVE

Business

Title

First Name

KYSHARI

Middle

DOMINIQUE

Last Name

BUTLER

Business Name

KYSHARI DOMINIQUE BUTLER DO

Original Issue Date

07/12/2024

Effective Date

07/12/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

Ever Disciplined

LastModifiedDate

07/12/2024