THOMAS ALLEN BAUMGARTNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050269

License Status

NOT RENEWED

Business

First Name

THOMAS ALLEN

Last Name

BAUMGARTNER

Suffix

Business Name

THOMAS ALLEN BAUMGARTNER MD

Original Issue Date

11/26/1974

Effective Date

11/26/1974

City

MOUNT HOME AFB

State

Zip

83648

County

IDAHO

Ever Disciplined

LastModifiedDate

09/20/2006