MONIQUE STEPHANIE BALTHAZAR Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014248

License Status

NOT RENEWED

Business

First Name

MONIQUE

Middle

STEPHANIE

Last Name

BALTHAZAR

Business Name

MONIQUE STEPHANIE BALTHAZAR

Original Issue Date

04/20/2016

Effective Date

04/20/2016

Expiration Date

05/31/2018

City

CLEVELAND

State

Zip

44113

Ever Disciplined

LastModifiedDate

07/19/2018