License holder summary

BENJAMIN LAGRATA BAUTISTA is a Department Of Health - Medical Doctor licensed to practice in Florida. The address on file for BENJAMIN LAGRATA BAUTISTA is 4 MANIS AVE, CHESTNUT RIDGE, NY 10977-6420. This doctor license is not current. The license was granted 01/01/1964 and expired on 01/31/2000.

Florida

Florida Board of Medicine

BENJAMIN LAGRATA BAUTISTA
Department Of Health - Medical Doctor
License number
ME27253
Date granted
01/01/1964
Date expires
01/31/2000
Class
Department Of Health - Medical Doctor
Status
Relinquished
Address
4 MANIS AVE, CHESTNUT RIDGE, NY 10977-6420
doctorsflorida.org
ID 21580145
LAST UPDATED 2024-04-10 09:04:07 UTC

This website is unaffiliated with the Florida Board of Medicine. Please verify all information directly with the relevant official government authority.

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