EUGENE R BALTHAZAR JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045800

License Status

NOT RENEWED

Business

First Name

EUGENE

Middle

Last Name

BALTHAZAR

Suffix

JR MD

Business Name

EUGENE R BALTHAZAR JR MD

Original Issue Date

07/31/1972

Effective Date

06/14/2011

Expiration Date

07/31/2014

City

ALEXANDRIA

State

Zip

71306

County

LOUISIANA

Ever Disciplined

LastModifiedDate

11/17/2014