Professional Records
License Records
Phil H Balthazar
Address:
125 NE 6 Ave, Cape Coral, FL
3735 Evans Ave, Fort Myers, FL
Phone:
(239) 772-9907
License #:
100731 - Expired
Category:
Health Care
Issued Date:
Oct 15, 1999
Effective Date:
Jan 15, 2013
Expiration Date:
Dec 31, 2010
Type:
Certified Nursing Assistant