KARMINA PASCUAL BAUTISTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116443

License Status

NOT RENEWED

Business

First Name

KARMINA

Middle

PASCUAL

Last Name

BAUTISTA

Suffix

Business Name

KARMINA PASCUAL BAUTISTA MD

Original Issue Date

07/11/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008