TEOFILO SANTOS BAUTISTA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065493

License Status

INACTIVE

Business

First Name

TEOFILO SANTOS

Last Name

BAUTISTA

Suffix

Business Name

TEOFILO SANTOS BAUTISTA MD

Original Issue Date

10/18/1982

Effective Date

10/18/1982

Expiration Date

07/31/1996

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006