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Licensee Information

Evan Simone Johnson - PA-C
0010-14787
Active
No
10/23/2024
09/26/2026

Active Supervisor

NameTypeStatusApprovedInactive
Kurup, Sunil Radhakrishna, MD MD Active 03/04/2026
Stotland, Mitchell Brandon, MD MD Active 11/11/2025
Vichich, Robert David, MD MD Active 11/11/2025

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
California
Colorado
Connecticut
Delaware
Florida
Idaho
Illinois
Iowa
Massachusetts
Michigan
Minnesota
Montana
Nevada
New York
Ohio
Texas
Utah
Virginia
Washington
Wisconsin

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 4:35:05 PM

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