Department of Safety and Professional Services
Board of Medical Practice
Ernesto Bautista Eusebio
Medical - Physician And Surgeon
License number
19821
Date granted
07/16/1971
Date expires
07/31/2004
Class
Medical - Physician And Surgeon
Status
Canceled
Address
1025 S 7th St, Springfield, IL 62703
doctorsminnesota.org
ID 22204554
LAST UPDATED 2024-03-15 18:11:23 UTC
LAST UPDATED 2024-03-15 18:11:23 UTC
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