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Licensee Information

Alexis Rae Anthony - PA-C
0010-12727
Active
No
10/20/2022
06/02/2027

Active Supervisor

NameTypeStatusApprovedInactive
Kallgren, Timothy Carl, MD MD Active 04/30/2024

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
California
Colorado
Connecticut
Florida
Idaho
New York
Washington
Wisconsin

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 1:47:41 PM

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