North Carolina
Secretary of State
Judith Ann Lantz, RDH
Dental - Credentialing
License number
9653
Date granted
01/03/2011
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
Durham NC
licensingnc.com
ID 19405742
LAST UPDATED 2024-04-12 06:41:18 UTC
LAST UPDATED 2024-04-12 06:41:18 UTC
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