RENEE BALTHAZAR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017036

License Status

NOT RENEWED

Business

First Name

RENEE

Last Name

BALTHAZAR

Business Name

RENEE BALTHAZAR

Original Issue Date

12/26/1979

Effective Date

07/30/2012

Expiration Date

09/30/2015

City

ANCHORAGE

State

Zip

99507

County

ALASKA

Ever Disciplined

LastModifiedDate

02/08/2016