YVONNE MARIE BALTHAZAR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016065

License Status

NOT RENEWED

Business

First Name

YVONNE MARIE

Last Name

BALTHAZAR

Suffix

DDS

Business Name

YVONNE MARIE BALTHAZAR DDS

Original Issue Date

07/15/1977

Effective Date

06/12/2015

Expiration Date

09/30/2018

City

RACINE

State

Zip

53402

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/31/2018