Carlos Bautista

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

125044345

Status

Inactive (Cancelled)

First issued

July 1, 2002

Expired

June 30, 2005

License holder

Carlos Bautista

Entity type

Individual

Classifications

• Temporary Medical Permit Physicians & Surgeons

More from the license record

Specialty

Family Medicine

Current term began

07/01/2002

Other Illinois licenses under this name

• IL
  Carlos Bautista

  License 049083560

  Pharmacy Technician
  Expired

  Chicago, IL

  Expired Mar 31, 1992

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