RODOLFO E BAUTISTA MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042002160

License Status

NOT RENEWED

Business

Business Name

RODOLFO E BAUTISTA MD SC

Original Issue Date

09/10/1974

Effective Date

09/10/1974

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006