License holder summary

MICHAEL BAUTISTA is a Physician Assistant licensed to practice in Connecticut. The address on file for MICHAEL BAUTISTA is 235 Walton Street, West Hempstead, NY, 11552. This licensed professional license is current. The license was granted 01/17/1997 and expired on 01/31/2014.

Connecticut

Department of Consumer Protection

MICHAEL BAUTISTA
Physician Assistant
License number
622
Date granted
01/17/1997
Date expires
01/31/2014
Class
Physician Assistant
Status
Active
Address
235 Walton Street, West Hempstead, NY, 11552
ctlicensing.org
ID 4316875
LAST UPDATED 2026-05-05 15:23:19 UTC

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