KATRINA BAUTISTA ACOSTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

KATRINA

Middle

BAUTISTA

Last Name

ACOSTA

Suffix

Business Name

KATRINA BAUTISTA ACOSTA MD

Original Issue Date

04/18/2002

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023