RENEE BALTHAZAR - Dentist License in Alaska | # 021001416

RENEE BALTHAZAR

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001416

License Status

NOT RENEWED

Business

N

First Name

RENEE

Last Name

BALTHAZAR

Business Name

RENEE BALTHAZAR

Original Issue Date

10/12/1988

Effective Date

09/24/2012

Expiration Date

09/30/2015

State

AK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018