MIRIAM A BAUMGART MD - Medical Doctor License in Illinois | # 125049089

MIRIAM A BAUMGART MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049089

License Status

CANCELLED

Business

N

Title

MD

First Name

MIRIAM

Middle

A

Last Name

BAUMGART

Business Name

MIRIAM A BAUMGART MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

04/29/2008