MIRIAM A BAUMGART MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049089

License Status

CANCELLED

Business

Title

First Name

MIRIAM

Middle

Last Name

BAUMGART

Business Name

MIRIAM A BAUMGART MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/29/2008