MATTHEW RALPH BAUMGARTH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001091

License Status

NOT RENEWED

Business

First Name

MATTHEW RALPH

Last Name

BAUMGARTH

Business Name

MATTHEW RALPH BAUMGARTH

Original Issue Date

01/06/1998

Effective Date

01/06/1998

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/12/2005