KARMINA PASCUAL BAUTISTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046878

License Status

NOT RENEWED

Business

First Name

KARMINA

Middle

PASCUAL

Last Name

BAUTISTA

Suffix

Business Name

KARMINA PASCUAL BAUTISTA MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

09/28/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/03/2006