ARTHUR C BAUTISTA - Medical Doctor License in Illinois | # 125027041

ARTHUR C BAUTISTA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027041

License Status

EXPIRED

Business

N

First Name

ARTHUR C

Last Name

BAUTISTA

Business Name

ARTHUR C BAUTISTA

Original Issue Date

06/03/1991

Effective Date

06/03/1991

Expiration Date

06/30/1994

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006