JADELYN BAUTISTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083434

License Status

ACTIVE

Business

Title

First Name

JADELYN

Last Name

BAUTISTA

Business Name

JADELYN BAUTISTA MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/03/2024