EDWARD WILLIAM BAUMGARTNER JR MD - Medical Doctor License in Illinois | # 036129799

EDWARD WILLIAM BAUMGARTNER JR MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129799

License Status

NOT RENEWED

Business

N

Title

MD

First Name

EDWARD

Middle

WILLIAM

Last Name

BAUMGARTNER

Suffix

JR

Business Name

EDWARD WILLIAM BAUMGARTNER JR MD

Original Issue Date

03/20/2012

Effective Date

03/20/2012

Expiration Date

07/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014