DENNIS J BAUMGARDNER MD - Medical Doctor License in Wisconsin | # 33*****66

DENNIS J BAUMGARDNER MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

N

First Name

DENNIS J

Last Name

BAUMGARDNER

Suffix

MD

Business Name

DENNIS J BAUMGARDNER MD

Original Issue Date

08/20/1984

Effective Date

08/20/1984

Expiration Date

07/31/1993

State

WI

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

09/26/2006