KENT W BAUMANN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

First Name

KENT W

Last Name

BAUMANN

Suffix

Business Name

KENT W BAUMANN MD

Original Issue Date

12/08/2020

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/11/2023