North Carolina
Secretary of State
Ellis K. List
Dental - Licensed Dentist
License number
5687
Date granted
09/16/1987
Date expires
03/31/2015
Class
Dental - Licensed Dentist
Status
Good Standing
Address
DURHAM NC
licensingnc.com
ID 19235580
LAST UPDATED 2024-04-24 11:14:40 UTC
LAST UPDATED 2024-04-24 11:14:40 UTC
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