DE WAYNE FORREST BUTCHER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042544

License Status

INACTIVE

Business

First Name

DE WAYNE FORREST

Last Name

BUTCHER

Suffix

Business Name

DE WAYNE FORREST BUTCHER MD

Original Issue Date

07/01/1969

Effective Date

07/01/1969

Expiration Date

07/31/1990

City

NAPLES

State

Zip

28760

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

09/20/2006