JONATHAN BUILTA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086005

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Last Name

BUILTA

Business Name

JONATHAN BUILTA DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/28/2025