Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****40

NOT RENEWED

N

MARK

H

BAUMGARTNER

DMD

MARK H BAUMGARTNER DMD

04/23/2004

04/23/2004

09/30/2006

GREAT LAKES

IL

60088

LAKE

II III IV V

N

11/08/2006