ETTY VIRAY BAUTISTA MD - Medical Doctor License in California | # 036047787

ETTY VIRAY BAUTISTA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047787

License Status

NOT RENEWED

Business

N

First Name

ETTY VIRAY

Last Name

BAUTISTA

Suffix

MD

Business Name

ETTY VIRAY BAUTISTA MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

Expiration Date

07/31/1987

State

CA

Ever Disciplined

N

LastModifiedDate

09/20/2006