ANDREA BAUMGARTNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055724

License Status

NOT RENEWED

Business

First Name

ANDREA

Last Name

BAUMGARTNER

Business Name

ANDREA BAUMGARTNER

Original Issue Date

09/23/1977

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021