YVONNE MARIE BALTHAZAR DDS - Dentist License in Wisconsin | # 019016065

YVONNE MARIE BALTHAZAR DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016065

License Status

NOT RENEWED

Business

N

First Name

YVONNE MARIE

Last Name

BALTHAZAR

Suffix

DDS

Business Name

YVONNE MARIE BALTHAZAR DDS

Original Issue Date

07/15/1977

Effective Date

06/12/2015

Expiration Date

09/30/2018

State

WI

Ever Disciplined

N

LastModifiedDate

10/31/2018