DAVID A BALTIERRA MD - Medical Doctor License in Ohio | # 036093103

DAVID A BALTIERRA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093103

License Status

NOT RENEWED

Business

N

First Name

DAVID A

Last Name

BALTIERRA

Suffix

MD

Business Name

DAVID A BALTIERRA MD

Original Issue Date

06/06/1996

Effective Date

06/06/1996

Expiration Date

07/31/1999

State

OH

Ever Disciplined

N

LastModifiedDate

09/20/2006