FRANCISCO M BAUTISTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

FRANCISCO M

Last Name

BAUTISTA

Suffix

Business Name

FRANCISCO M BAUTISTA MD

Original Issue Date

11/24/1992

Effective Date

11/24/1992

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60639

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017