MICHAEL J BAUTISTA MD - Medical Doctor License in Illinois | # 036084632

MICHAEL J BAUTISTA MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084632

License Status

ACTIVE

Business

N

First Name

MICHAEL J

Last Name

BAUTISTA

Suffix

MD

Business Name

MICHAEL J BAUTISTA MD

Original Issue Date

06/27/1992

Effective Date

07/18/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

07/18/2023