License holder summary

MARIO C BAUTISTA MD is a Controlled Substance licensed to practice in New Mexico. This licensed professional license is not current. The license was granted 08/20/2004 and expired on 07/31/2007.

New Mexico

Regulation & Licensing Department

MARIO C BAUTISTA MD
Controlled Substance
License number
CS00210073
Date granted
08/20/2004
Date expires
07/31/2007
Class
Controlled Substance
Status
Expired
licensingnm.com
ID 5824584
LAST UPDATED 2026-04-18 12:34:27 UTC

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