MICHAEL J BAUTISTA MD
Licensed Physician Controlled Substance
Illinois 336046849 Active
This Illinois license is held by MICHAEL J BAUTISTA MD. The license is currently active. It was granted on 07/01/1992 and expired on 07/31/2014
LICENSE DETAILS
- License Number: 336046849
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Active
- Date Granted: 07/01/1992 (almost 32 years ago)
- Expiry Date: 07/31/2014 (almost 10 years ago)
LOCATIONS
A Address
CLARENDON HILLS, IL 60514
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