EDWARD WILLIAM BAUMGARTNER JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053498

License Status

CANCELLED

Business

Title

First Name

EDWARD

Middle

WILLIAM

Last Name

BAUMGARTNER

Suffix

Business Name

EDWARD WILLIAM BAUMGARTNER JR MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/30/2010