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DHMH : cdssearch: M55287

CDSPERMIT

M55287

APPLICANT_NAME

A GEORGE GILFILLAN III

APPLICANT_STATUS

NON RENEWED

CLASSIFICATION

PRACTITIONER

ADRESS

4170 CLAYLANDS ROAD

CITY

TRAPPE

COUNTY

 

ZIP

21673

STATE

MD

ADDRESS2

 

PROFESSION

MD

LICENSE_ISSUEDDATE

7/1/2005 12:00 AM

LICENSE_EXPDATE

6/30/2007 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