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Licensee Information

Trina Blair Dale - PA-C
0010-10718
Active
No
10/15/2020
07/05/2027

Active Supervisor

NameTypeStatusApprovedInactive
Chivukula, Venkata Ravi Shankar, MD MD Active 08/04/2025
Mathew, Patricia, DO DO Active 04/29/2025

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 11/9/2026 2:46:20 AM
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