MARIA RIZA D BAUTISTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113909

License Status

ACTIVE

Business

First Name

MARIA

Middle

RIZA D

Last Name

BAUTISTA

Suffix

Business Name

MARIA RIZA D BAUTISTA MD

Original Issue Date

06/16/2005

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

05/03/2023