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DHMH : cdssearch: M12283

CDSPERMIT

M12283

APPLICANT_NAME

A ANTONIA PLUCIS

APPLICANT_STATUS

LICENSED

CLASSIFICATION

PRACTITIONER

ADRESS

8 FISK CIRCLE

CITY

ANNAPOLIS

COUNTY

 

ZIP

21401

STATE

MD

ADDRESS2

 

PROFESSION

MD

LICENSE_ISSUEDDATE

4/1/2011 12:00 AM

LICENSE_EXPDATE

3/31/2013 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