KENDAL R BUTLER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

ACTIVE

Business

First Name

KENDAL

Middle

Last Name

BUTLER

Business Name

KENDAL R BUTLER

Original Issue Date

06/17/2021

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/02/2026