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Licensee Information

Jacqueline Grace Wallenborn - PA-C
0010-05299
Active
Yes
07/02/2026
12/02/2026
See: Actions-Adverse & Administrative Tab

Active Supervisor

NameTypeStatusApprovedInactive
Wilkerson, Michael Wayne, MD MD Active 07/24/2026

North Carolina Hospital Admitting Privileges

Location
Margaret R. Pardee Memorial Hospital

Out of State Active/Inactive Licenses

State
North Carolina

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 7/28/2026 9:32:51 PM
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