JENNIFER M BAUMGARTNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

BAUMGARTNER

Business Name

JENNIFER M BAUMGARTNER

Original Issue Date

08/09/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011