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Licensee Information

Jenise Victoria Bacon Menshew - PA-C
104189
Active
No
12/16/2004
12/16/2026

Active Supervisor

NameTypeStatusApprovedInactive
Forbach, Cory Ryan, MD MD Active 11/16/2021

North Carolina Hospital Admitting Privileges

Location
Alamance Regional Medical Center

Out of State Active/Inactive Licenses

State
Georgia
Tennessee

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 1:41:34 PM
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