KEITH JOHN BUTVILAS DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100436

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

OZARK

State

Zip

65721

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

01/14/2021