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DHMH : cdssearch: M28211

CDSPERMIT

M28211

APPLICANT_NAME

A HILDA ROBINSON-GRIM

APPLICANT_STATUS

NON RENEWED

CLASSIFICATION

PRACTITIONER

ADRESS

5901 MILLRACE CT

CITY

COLUMBIA

COUNTY

 

ZIP

21045

STATE

MD

ADDRESS2

APT H202

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