HARRIETT H BUTCHKO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

HARRIETT H

Last Name

BUTCHKO

Suffix

Business Name

HARRIETT H BUTCHKO MD

Original Issue Date

10/18/1984

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/03/2023