ETTY VIRAY BAUTISTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047787

License Status

NOT RENEWED

Business

First Name

ETTY VIRAY

Last Name

BAUTISTA

Suffix

Business Name

ETTY VIRAY BAUTISTA MD

Original Issue Date

08/23/1973

Effective Date

08/23/1973

Expiration Date

07/31/1987

City

SAN FRANCISCO

State

Zip

94129

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006