EDWARD WILLIAM BAUMGARTNER JR MD - Medical Doctor License in Illinois | # 125053498

EDWARD WILLIAM BAUMGARTNER JR MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053498

License Status

CANCELLED

Business

N

Title

MD

First Name

EDWARD

Middle

WILLIAM

Last Name

BAUMGARTNER

Suffix

JR

Business Name

EDWARD WILLIAM BAUMGARTNER JR MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

04/30/2010