License holder summary

Keith John Butvilas is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Keith John Butvilas is ST MARGARET MERCY HEALTHCARE ER, 5454 HOHMAN AVE ER DEPT, HAMMOND IN 46320. This licensed professional license is not current. The license was granted 06/25/1998 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Keith John Butvilas
Controlled Substance Registration-Osteopathic Physician
License number
02001960B
Date granted
06/25/1998
Date expires
06/30/2001
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
ST MARGARET MERCY HEALTHCARE ER, 5454 HOHMAN AVE ER DEPT, HAMMOND IN 46320
indianalicensing.org
ID 5802627
LAST UPDATED 2024-02-09 04:50:47 UTC

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