ORRIN GLENN BAUMGARTH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

ORRIN GLENN

Last Name

BAUMGARTH

Business Name

ORRIN GLENN BAUMGARTH

Original Issue Date

01/01/1998

Expiration Date

09/30/1986

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005