MICHAEL JOHN BUTCHER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

JOHN

Last Name

BUTCHER

Business Name

MICHAEL JOHN BUTCHER DO

Original Issue Date

07/23/2014

Effective Date

07/23/2014

Expiration Date

07/31/2017

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/01/2017