NORMA BAUTISTA GUTIERREZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039252

License Status

INACTIVE

Business

First Name

NORMA BAUTISTA

Last Name

GUTIERREZ

Suffix

Business Name

NORMA BAUTISTA GUTIERREZ MD

Original Issue Date

08/17/1964

Effective Date

08/17/1964

Expiration Date

07/31/1993

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006