ERNA D BAUTINA MD - Medical Doctor License in Illinois | # 125017848

ERNA D BAUTINA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017848

License Status

EXPIRED

Business

N

First Name

ERNA D

Last Name

BAUTINA

Suffix

MD

Business Name

ERNA D BAUTINA MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

State

IL

Specialty/Qualifier

Pathology

Ever Disciplined

N

LastModifiedDate

09/22/2006