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Licensee Information

Eugenio DeJesus Gonzalez - PA-C
103739
Active
No
04/24/2003
05/23/2027

Active Supervisor

NameTypeStatusApprovedInactive
Tambakis-Odom, Constance Roseann, MD MD Active 10/17/2025
Withers, Timothy Derrayle, DO DO Active 09/11/2026

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 10/21/2026 6:50:07 PM
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