GAVIN JUDE BAUMGART MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086813

License Status

ACTIVE

Business

Title

First Name

GAVIN

Middle

JUDE

Last Name

BAUMGART

Business Name

GAVIN JUDE BAUMGART MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

06/17/2025