DENNIS J BAUMGARDNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015787

License Status

EXPIRED

Business

First Name

DENNIS J

Last Name

BAUMGARDNER

Suffix

Business Name

DENNIS J BAUMGARDNER MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1985

City

ROCKFORD

State

Zip

61107

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006