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DHMH : cdssearch: M52296

CDSPERMIT

M52296

APPLICANT_NAME

A DANIEL PINHEIRO

APPLICANT_STATUS

CANCELLED

CLASSIFICATION

PRACTITIONER

ADRESS

HEAD & NECK ASSOCIATES

CITY

BALTIMORE

COUNTY

 

ZIP

21204

STATE

MD

ADDRESS2

6569 N CHARLES ST #200

PROFESSION

MD

LICENSE_ISSUEDDATE

6/1/2002 12:00 AM

LICENSE_EXPDATE

6/30/2004 12:00 AM

CURR_CERTIFICATION

Y

Attachments

Created at 11/21/2013 11:55 AM by System Account
Last modified at 11/21/2013 11:55 AM by System Account