North Carolina
Secretary of State
Brent L. Blaylock
Dental - Licensed Dentist
License number
4970
Date granted
01/11/1982
Date expires
03/31/2015
Class
Dental - Licensed Dentist
Status
Good Standing
Address
DURHAM NC
licensingnc.com
ID 19234837
LAST UPDATED 2026-07-20 12:17:30 UTC
LAST UPDATED 2026-07-20 12:17:30 UTC
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