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DHMH : cdssearch: M17772

CDSPERMIT

M17772

APPLICANT_NAME

A HUNTER THOMPSON

APPLICANT_STATUS

CANCELLED

CLASSIFICATION

PRACTITIONER

ADRESS

129 CAMDEN AVE

CITY

CAMDEN

COUNTY

 

ZIP

27921

STATE

NC

ADDRESS2

 

PROFESSION

MD

LICENSE_ISSUEDDATE

6/1/2000 12:00 AM

LICENSE_EXPDATE

6/30/2002 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