JEFFREY A BAUMGARDNER MD - Medical Doctor License in Illinois | # 125045072

JEFFREY A BAUMGARDNER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045072

License Status

EXPIRED

Business

N

First Name

JEFFREY

Middle

A

Last Name

BAUMGARDNER

Suffix

MD

Business Name

JEFFREY A BAUMGARDNER MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2006

State

IL

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

N

LastModifiedDate

09/22/2006