GERALD M BALTZ Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

NOT RENEWED

Business

First Name

GERALD

Middle

Last Name

BALTZ

Business Name

GERALD M BALTZ

Original Issue Date

06/08/2009

Effective Date

04/05/2012

Expiration Date

05/31/2014

City

WEST HOLLYWOOD

State

Zip

90046

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

03/06/2014