ERLEINE FAYE BAUTISTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134193

License Status

ACTIVE

Business

Title

First Name

ERLEINE

Middle

FAYE

Last Name

BAUTISTA

Business Name

ERLEINE FAYE BAUTISTA MD

Original Issue Date

11/19/2013

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

06/15/2023