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Licensee Information

Jonathan Byron Lively - PA-C
0010-10599
Active
No
09/17/2020
07/15/2026

Active Supervisor

NameTypeStatusApprovedInactive
Wilds, Ian Bechman, MD MD Active 07/27/2023

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
None Reported

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 11:50:34 PM
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