License Directory

Etty Viray Bautista Md

Expired

Illinois license 036047787

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036047787
Status
Expired (Not Renewed)
First issued
August 23, 1973
Expired
July 31, 1987
License holder
Etty Viray Bautista Md
Entity type
Individual

Classifications

More from the license record

Current term began
08/23/1973

Contact

San Francisco, CA 94129
California County