North Carolina
Secretary of State
Lisa Owens Hazelwood, RDH
Dental - Credentialing
License number
9648
Date granted
11/18/2010
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
YOUNGSVILLE NC
licensingnc.com
ID 19412676
LAST UPDATED 2024-02-26 11:00:48 UTC
LAST UPDATED 2024-02-26 11:00:48 UTC
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