North Carolina
Secretary of State
Susanna Marie Goggin
Dental - Provisional
License number
60121
Date granted
06/13/2014
Date expires
06/13/2015
Class
Dental - Provisional
Status
Good Standing
Address
BIRMINGHAM AL
licensingnc.com
ID 19233022
LAST UPDATED 2026-04-02 21:24:05 UTC
LAST UPDATED 2026-04-02 21:24:05 UTC
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