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DHMH : cdssearch: M01939

CDSPERMIT

M01939

APPLICANT_NAME

A ANDREW ALECCE

APPLICANT_STATUS

LICENSED

CLASSIFICATION

PRACTITIONER

ADRESS

2401 RAVENVIEW RD

CITY

TIMONIUM

COUNTY

 

ZIP

21093

STATE

MD

ADDRESS2

 

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