KRISTOFER RAYMOND BAUTISTA APELLIDO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086570

License Status

ACTIVE

Business

Title

First Name

KRISTOFER

Middle

RAYMOND BAUTISTA

Last Name

APELLIDO

Business Name

KRISTOFER RAYMOND BAUTISTA APELLIDO DO

Original Issue Date

06/30/2025

Effective Date

06/30/2025

Expiration Date

06/29/2028

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/13/2025