Department of State
Board of Medicine
CARMEN SANTOS BAUTISTA-DATOR
Graduate Medical Trainee
License number
MT047912T
Date granted
05/01/2001
Date expires
10/14/2003
Class
Graduate Medical Trainee
Status
Expired
Address
NO CITY PA 00000
medicinepa.com
ID 37520009
LAST UPDATED 2026-05-30 12:36:32 UTC
LAST UPDATED 2026-05-30 12:36:32 UTC
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