The holder whose full name is Baumgartner, Jeraldine C.,come from FORT WAYNE IN,hold the Physician license(NO.01013339A) which status is Expired Non-Renewable.
| Name | Baumgartner, Jeraldine C. |
|---|---|
| License Number | 01013339A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | FORT WAYNE |
| State | IN |