ELEANOR V BAUTISTA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093764

License Status

ACTIVE

Business

First Name

ELEANOR V

Last Name

BAUTISTA

Business Name

ELEANOR V BAUTISTA

Original Issue Date

07/25/1996

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

04/10/2023