FREDERICK E BUTT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072832

License Status

EXPIRED

Business

Title

First Name

FREDERICK

Middle

Last Name

BUTT

Business Name

FREDERICK E BUTT MD

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2019

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/02/2019