THOMAS BAUMGARTEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

THOMAS

Last Name

BAUMGARTEN

Suffix

Business Name

THOMAS BAUMGARTEN MD

Original Issue Date

05/23/1986

Effective Date

05/23/1986

Expiration Date

07/31/1987

City

BELVIDERE

State

Zip

61008

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006