Daisy Ibanez Bautista
ActiveCalifornia license A36896
License
- Licensed by
- Medical Board of California
- License number
- A36896
- Status
- Active (Current)
- First issued
- June 29, 1981
- Expires
- September 30, 2028
- License holder
- Daisy Ibanez Bautista
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
PO Box 24
Glendale, CA 91209-0024
Glendale, CA 91209-0024
Los Angeles County