North Carolina
Secretary of State
Tammy Kathryn Johnson, RDH
Dental - Credentialing
License number
9010
Date granted
09/23/2008
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
Concord NC
licensingnc.com
ID 19403891
LAST UPDATED 2024-04-07 18:16:39 UTC
LAST UPDATED 2024-04-07 18:16:39 UTC
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