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DHMH : cdssearch: M11919

CDSPERMIT

M11919

APPLICANT_NAME

A KALDUN NOSSULI

APPLICANT_STATUS

LICENSED

CLASSIFICATION

PRACTITIONER

ADRESS

4915 AUBURN AVE

CITY

BETHESDA

COUNTY

 

ZIP

20814

STATE

MD

ADDRESS2

SUITE 200

PROFESSION

MD

LICENSE_ISSUEDDATE

10/1/2012 12:00 AM

LICENSE_EXPDATE

9/30/2014 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