License Directory

Rodolfo Bautista Md

Expired

Illinois license 036045521

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036045521
Status
Expired (Not Renewed)
First issued
March 27, 1972
Expired
July 31, 1987
License holder
Rodolfo Bautista Md
Entity type
Individual

Classifications

More from the license record

Current term began
03/27/1972

Other Illinois licenses under this name

  • IL
    Rodolfo Bautista Md
    License 33*****64
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Expired Sep 1, 1982

Contact

Fort Myer, VA 22211
Virginia County