LANCE SCOTT BAUMGARTEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018294

License Status

NOT RENEWED

Business

First Name

LANCE

Middle

SCOTT

Last Name

BAUMGARTEN

Business Name

LANCE SCOTT BAUMGARTEN

Original Issue Date

08/03/1982

Effective Date

06/22/2015

Expiration Date

09/30/2018

City

JOHNSBURG

State

Zip

60051

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/31/2018