North Carolina
Secretary of State
David E. Burkhardt
Dental - Credentialing
License number
7726
Date granted
11/03/2003
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
Ft. Jackson SC
licensingnc.com
ID 19234419
LAST UPDATED 2024-05-11 00:59:51 UTC
LAST UPDATED 2024-05-11 00:59:51 UTC
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