License holder summary

AMANCIO G BAUTISTA MD is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for AMANCIO G BAUTISTA MD is 5422 LAKESIDE DRIVE, NEWBURGH IN 47630. This licensed professional license is not current. The license was granted 03/23/1977 and expired on 01/31/1990.

Indiana

Professional Licensing Agency

AMANCIO G BAUTISTA MD
Medical Licensing Board - Medical Corporation
License number
50001189A
Date granted
03/23/1977
Date expires
01/31/1990
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
5422 LAKESIDE DRIVE, NEWBURGH IN 47630
indianalicensing.org
ID 24832642
LAST UPDATED 2024-04-14 06:56:01 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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