VIDALIA M BUTLER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030758

License Status

EXPIRED

Business

First Name

VIDALIA

Middle

Last Name

BUTLER

Business Name

VIDALIA M BUTLER

Original Issue Date

10/12/1993

Effective Date

10/12/1993

Expiration Date

10/11/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006