ELEANOR V BAUTISTA - Medical Doctor License in Illinois | # 036093764

ELEANOR V BAUTISTA

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093764

License Status

ACTIVE

Business

N

First Name

ELEANOR V

Last Name

BAUTISTA

Business Name

ELEANOR V BAUTISTA

Original Issue Date

07/25/1996

Effective Date

04/10/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

04/10/2023