VIDALIA M BUTLER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096864

License Status

NOT RENEWED

Business

First Name

VIDALIA

Middle

Last Name

BUTLER

Business Name

VIDALIA M BUTLER

Original Issue Date

10/20/1997

Effective Date

10/20/1997

Expiration Date

07/31/1999

City

CORRY

State

Zip

16407

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006