License holder summary

Bautista II, Benjamin Genesis M is a Medicine And Surgery licensed to practice in Wisconsin. This doctor license is current. The license was granted 07/30/2010 and expired on 10/31/2017.

Wisconsin

Department of Safety and Professional Services

Bautista II, Benjamin Genesis M
Medicine And Surgery
License number
54794-20
Date granted
07/30/2010
Date expires
10/31/2017
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 36360015
LAST UPDATED 2026-05-12 11:43:19 UTC

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