CATALINO M BAUTISTA JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027549

License Status

EXPIRED

Business

First Name

CATALINO

Middle

Last Name

BAUTISTA

Suffix

JR MD

Business Name

CATALINO M BAUTISTA JR MD

Original Issue Date

09/12/1991

Effective Date

09/12/1991

Expiration Date

09/11/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006