License holder summary

DEASIS MA LOURDES BAUTISTA is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for DEASIS MA LOURDES BAUTISTA is WEST NYACK NY. This doctor license is current. The license was granted 06/20/1996 and expired on 10/31/2015.

New York

Office of the Professions

DEASIS MA LOURDES BAUTISTA
Medicine (Physician, Including M Ds & D Os)
License number
203287
Date granted
06/20/1996
Date expires
10/31/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
WEST NYACK NY
nymedicine.org
ID 30123881
LAST UPDATED 2024-04-09 11:55:05 UTC

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