North Carolina
Secretary of State
Lisa Harner Bard, RDH
Dental - Credentialing
License number
8046
Date granted
10/24/2005
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
WILMINGTON NC
licensingnc.com
ID 19407042
LAST UPDATED 2024-02-27 19:16:14 UTC
LAST UPDATED 2024-02-27 19:16:14 UTC
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