License holder summary

Roger M. Bautista is a Medical - Physician licensed to practice in Colorado. The address on file for Roger M. Bautista is 435 Life Style Lane, Wildwood, GA, 30757-0757. This licensed professional license is current. The license was granted 10/22/2003 and expired on 04/30/2015.

Colorado

Division of Professions and Occupations

Roger M. Bautista
Medical - Physician
License number
42078
Date granted
10/22/2003
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
435 Life Style Lane, Wildwood, GA, 30757-0757
coloradolicensing.org
ID 27409488
LAST UPDATED 2024-03-23 00:00:57 UTC

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