RENEE BALTHAZAR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001416

License Status

NOT RENEWED

Business

First Name

RENEE

Last Name

BALTHAZAR

Business Name

RENEE BALTHAZAR

Original Issue Date

10/12/1988

Effective Date

09/24/2012

Expiration Date

09/30/2015

City

ANCHORAGE

State

Zip

99507

County

ALASKA

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018