North Carolina
Secretary of State
Michelle Lynn Gibbs-Supranowicz, RDH
Dental - Credentialing
License number
10305
Date granted
06/27/2013
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
Fayetteville NC
licensingnc.com
ID 19410074
LAST UPDATED 2024-04-14 19:19:41 UTC
LAST UPDATED 2024-04-14 19:19:41 UTC
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