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DHMH : cdssearch: M28731

CDSPERMIT

M28731

APPLICANT_NAME

A HOWLAND HARTLEY

APPLICANT_STATUS

LICENSED

CLASSIFICATION

PRACTITIONER

ADRESS

995 N. PRINCE FREDERICK BLVD

CITY

PRC FREDERICK

COUNTY

 

ZIP

20678

STATE

MD

ADDRESS2

SUITE 204

PROFESSION

MD

LICENSE_ISSUEDDATE

2/1/2013 12:00 AM

LICENSE_EXPDATE

1/31/2015 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