KYSHARI DOMINIQUE BUTLER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

KYSHARI

Middle

DOMINIQUE

Last Name

BUTLER

Business Name

KYSHARI DOMINIQUE BUTLER DO

Original Issue Date

07/24/2024

Effective Date

07/24/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2024