CATALINO M BAUTISTA JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

CATALINO

Middle

Last Name

BAUTISTA

Suffix

JR MD

Business Name

CATALINO M BAUTISTA JR MD

Original Issue Date

03/06/2006

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60434

County

LOGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023