JOSEPH R BAUMGART MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

JOSEPH R

Last Name

BAUMGART

Suffix

Business Name

JOSEPH R BAUMGART MD

Original Issue Date

10/19/1983

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023