PAMELA N VERDER-BAUTISTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081895

License Status

NOT RENEWED

Business

First Name

PAMELA N

Last Name

VERDER-BAUTISTA

Suffix

Business Name

PAMELA N VERDER-BAUTISTA MD

Original Issue Date

12/05/1990

Effective Date

12/05/1990

Expiration Date

07/31/1993

City

MIAMISBURG

State

Zip

45342

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006