JEFFREY A BAUMGARDNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045072

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

Last Name

BAUMGARDNER

Suffix

Business Name

JEFFREY A BAUMGARDNER MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2006

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006