North Carolina
Secretary of State
Kimberly Ponczek, RDH
Dental - Credentialing
License number
8367
Date granted
09/12/2006
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
Glenview IL
licensingnc.com
ID 19233640
LAST UPDATED 2024-03-05 03:49:34 UTC
LAST UPDATED 2024-03-05 03:49:34 UTC
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