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DHMH : cdssearch: M40361

CDSPERMIT

M40361

APPLICANT_NAME

A BRITT-MARIE C CARSJO

APPLICANT_STATUS

CLOSED

CLASSIFICATION

PRACTITIONER

ADRESS

C/O KELLER WOMEN PHYS AS

CITY

GAITHERSBURG

COUNTY

 

ZIP

20877

STATE

MD

ADDRESS2

16220 FREDERICK RD #419

PROFESSION

MD

LICENSE_ISSUEDDATE

7/1/1997 12:00 AM

LICENSE_EXPDATE

6/30/1999 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