MATTHEW RALPH BAUMGARTH - Dentist License in Illinois | # 019024732

MATTHEW RALPH BAUMGARTH

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024732

License Status

NOT RENEWED

Business

N

First Name

MATTHEW RALPH

Last Name

BAUMGARTH

Business Name

MATTHEW RALPH BAUMGARTH

Original Issue Date

06/17/1998

Effective Date

06/17/1998

Expiration Date

09/30/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005