MANUEL F BAUTISTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077414

License Status

NOT RENEWED

Business

First Name

MANUEL F

Last Name

BAUTISTA

Suffix

Business Name

MANUEL F BAUTISTA MD

Original Issue Date

07/20/1988

Effective Date

07/20/1988

Expiration Date

07/31/1990

City

TACOMA

State

Zip

98467

County

WASHINGTON

Ever Disciplined

LastModifiedDate

04/17/2007