CATALINO M BAUTISTA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

CATALINO

Middle

Last Name

BAUTISTA

Suffix

JR MD

Business Name

CATALINO M BAUTISTA JR MD

Original Issue Date

10/29/1997

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60639

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021