MATTHEW RALPH BAUMGARTH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024732

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005