ANDREA BAUMGARTNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

ANDREA

Last Name

BAUMGARTNER

Business Name

ANDREA BAUMGARTNER

Original Issue Date

01/01/1997

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021