ROLANDO BAUTISTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051590

License Status

NOT RENEWED

Business

First Name

ROLANDO

Last Name

BAUTISTA

Suffix

Business Name

ROLANDO BAUTISTA MD

Original Issue Date

08/15/1975

Effective Date

05/23/2017

Expiration Date

09/30/2020

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021