CHRISTIAN H BAUTISTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

First Name

CHRISTIAN H

Last Name

BAUTISTA

Suffix

Business Name

CHRISTIAN H BAUTISTA MD

Original Issue Date

06/11/1996

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023