MIRIAM A BAUMGART MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122384

License Status

ACTIVE

Business

Title

First Name

MIRIAM

Middle

Last Name

BAUMGART

Business Name

MIRIAM A BAUMGART MD

Original Issue Date

01/02/2009

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/06/2023

Case Number

2013003198

Action

Probation

Discipline Start Date

01/29/2015

Discipline End Date

12/02/2017

Discipline Reason

license restored to indefinite probation for a minimum of four years effective upon payment of fees and filing of forms.