SHALOM BUTEL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

Title

First Name

SHALOM

Last Name

BUTEL

Business Name

SHALOM BUTEL DO

Original Issue Date

11/02/2016

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

BROOKLYN

State

Zip

11218

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021