North Carolina
Secretary of State
Jane Ellen Mitchell
Dental - Credentialing
License number
9388
Date granted
08/17/2012
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
Fayetteville NC
licensingnc.com
ID 19232703
LAST UPDATED 2026-07-08 04:37:33 UTC
LAST UPDATED 2026-07-08 04:37:33 UTC
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