North Carolina
Secretary of State
Theresa Lynn McCormick, RDH
Dental - Credentialing
License number
10204
Date granted
09/20/2012
Date expires
03/31/2015
Class
Dental - Credentialing
Status
Good Standing
Address
CHESAPEAKE VA
licensingnc.com
ID 19413158
LAST UPDATED 2026-04-20 04:15:29 UTC
LAST UPDATED 2026-04-20 04:15:29 UTC
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