JENNIFER M BAUMGARTNER - Medical Doctor License in Illinois | # 125042371

JENNIFER M BAUMGARTNER

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042371

License Status

EXPIRED

Business

N

First Name

JENNIFER

Middle

M

Last Name

BAUMGARTNER

Business Name

JENNIFER M BAUMGARTNER

Original Issue Date

06/25/2001

Effective Date

06/25/2001

Expiration Date

06/24/2004

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006