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DHMH : cdssearch: M15770

CDSPERMIT

M15770

APPLICANT_NAME

A AUSTIN PEARRE JR

APPLICANT_STATUS

LICENSED

CLASSIFICATION

PRACTITIONER

ADRESS

300 W. NINTH ST

CITY

FREDERICK

COUNTY

 

ZIP

21701

STATE

MD

ADDRESS2

INTERNAL MEDICINE ASSOCS

PROFESSION

MD

LICENSE_ISSUEDDATE

11/1/2013 12:00 AM

LICENSE_EXPDATE

10/31/2015 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