NICHOLAS R BUTLER Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056824

License Status

CANCELLED

Business

First Name

NICHOLAS

Middle

Last Name

BUTLER

Business Name

NICHOLAS R BUTLER

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/10/2009