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Licensee Information

Jack Llorrac Bagley - PA-C
103055
Active
No
08/21/2001
08/12/2027

Active Supervisor

NameTypeStatusApprovedInactive
Foster, Charlie Henry, Jr., MD MD Active 07/24/2024
Sall, Edward Tracy, MD MD Active 05/20/2023
Thomas, John Alexander, MD MD Active 02/11/2013

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Missouri

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 8/1/2026 11:48:03 AM
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