PAMELA N VERDER-BAUTISTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025836

License Status

EXPIRED

Business

First Name

PAMELA N

Last Name

VERDER-BAUTISTA

Suffix

Business Name

PAMELA N VERDER-BAUTISTA MD

Original Issue Date

07/02/1990

Effective Date

07/02/1990

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006