JENNIFER M BAUMGARTNER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111094

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

BAUMGARTNER

Business Name

JENNIFER M BAUMGARTNER

Original Issue Date

03/25/2004

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

RICHFIELD

State

Zip

84701

County

UTAH

Ever Disciplined

LastModifiedDate

11/14/2011