PETER B BAUMGARTEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

First Name

PETER B

Last Name

BAUMGARTEL

Suffix

Business Name

PETER B BAUMGARTEL MD

Original Issue Date

10/28/1997

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023