ALBERT BALTHAZOR JR Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046004968

License Status

INACTIVE

Business

First Name

ALBERT

Last Name

BALTHAZOR JR

Business Name

ALBERT BALTHAZOR JR

Expiration Date

03/31/1984

City

MESA

State

Zip

85207

County

ARIZONA

Ever Disciplined

LastModifiedDate

08/31/2005