WILLIAM W BAUMGARTNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

WILLIAM W

Last Name

BAUMGARTNER

Suffix

Business Name

WILLIAM W BAUMGARTNER MD

Original Issue Date

01/01/1997

Effective Date

07/21/2008

Expiration Date

07/31/2011

City

HOPEDALE

State

Zip

61747

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011