License holder summary

Teofilo S. Bautista, P.C. is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for Teofilo S. Bautista, P.C. is 3802 WAXWING COURT, VALPARAISO IN 46383. This licensed professional license is not current. The license was granted 07/16/1986 and expired on 01/31/2014.

Indiana

Professional Licensing Agency

Teofilo S. Bautista, P.C.
Medical Licensing Board - Medical Corporation
License number
50002852A
Date granted
07/16/1986
Date expires
01/31/2014
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
3802 WAXWING COURT, VALPARAISO IN 46383
indianalicensing.org
ID 24835035
LAST UPDATED 2024-02-29 10:27:50 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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