ARTHUR C BAUTISTA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027041

License Status

EXPIRED

Business

First Name

ARTHUR C

Last Name

BAUTISTA

Business Name

ARTHUR C BAUTISTA

Original Issue Date

06/03/1991

Effective Date

06/03/1991

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006