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Licensee Information

Mark Charles Jakubisin - PA-C
0010-04704
Active
No
12/31/2013
08/07/2026

Active Supervisor

NameTypeStatusApprovedInactive
Frederick, John Richards, MD MD Active 10/22/2019

North Carolina Hospital Admitting Privileges

Location
Carolinas Medical Center
Carolinas Medical Center Mercy/Pineville
Carolinas Medical Center- NE

Out of State Active/Inactive Licenses

State
Arizona
Florida
Illinois
Indiana

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 4:15:48 PM
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