MARCELLA MARIA BUTLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

MARCELLA

Middle

MARIA

Last Name

BUTLER

Suffix

Business Name

MARCELLA MARIA BUTLER MD

Original Issue Date

05/18/1999

Effective Date

05/18/1999

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006