2112 Ann St
Raleigh, NC 27608
License:
045692
Status:
INACTIVE
Issue Date:
9/22/2017
Expires:
12/31/2026
Disciplinary Actions
None found
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Note: Licensees may submit corrections to this information by clicking the "Renewals" link at the top. Please contact the Board office if you have questions about a license restriction or if a name you are searching for does not appear.