MARIA RIZA D BAUTISTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045465

License Status

EXPIRED

Business

First Name

MARIA

Middle

RIZA D

Last Name

BAUTISTA

Suffix

Business Name

MARIA RIZA D BAUTISTA MD

Original Issue Date

01/01/2003

Effective Date

01/01/2003

Expiration Date

12/31/2005

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006