KEITH JOHN BUTVILAS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

JOHN

Last Name

BUTVILAS

Suffix

Business Name

KEITH JOHN BUTVILAS DO

Original Issue Date

06/24/1999

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

HUNTLEY

State

Zip

60142

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021