EDEN A BAUTISTA ORDONEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062992

License Status

NOT RENEWED

Business

First Name

EDEN A

Last Name

BAUTISTA ORDONEZ

Suffix

Business Name

EDEN A BAUTISTA ORDONEZ MD

Original Issue Date

08/24/1981

Effective Date

07/27/2020

Expiration Date

07/31/2023

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/30/2023