North Carolina
Secretary of State
Angeline Mae Costa, RDH
Dental - Credentialing
License number
8684
Date granted
07/05/2007
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
FORT MILL SC
licensingnc.com
ID 19402477
LAST UPDATED 2024-05-19 06:14:36 UTC
LAST UPDATED 2024-05-19 06:14:36 UTC
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