FRANCISCO M BAUTISTA MD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000344

License Status

NOT RENEWED

Business

First Name

FRANCISCO M

Last Name

BAUTISTA

Suffix

Business Name

FRANCISCO M BAUTISTA MD

Original Issue Date

12/22/1987

Effective Date

12/22/1987

Expiration Date

03/01/1990

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/27/2017