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Licensee Information

Kenneth Wayne Bush - PA-C
103038
Active
No
08/16/2000
07/23/2027

Active Supervisor

NameTypeStatusApprovedInactive
Davis, Ross Parker, MD MD Active 11/27/2017
St. Angelo, John Michael, III, MD MD Active 05/06/2025
Sullivan, Toby Michael, MD MD Active 06/10/2025
Williams, Timothy Keith, MD MD Active 08/03/2020

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 7/28/2026 4:31:25 PM
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