North Carolina
Secretary of State
Karen Sue Tackett, RDH
Dental - Credentialing
License number
10474
Date granted
08/21/2013
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
HAMPSTEAD NC
licensingnc.com
ID 19407380
LAST UPDATED 2024-04-18 19:53:55 UTC
LAST UPDATED 2024-04-18 19:53:55 UTC
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