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Licensee Information

Ian Christopher Stack - PA-C
103480
Active
No
04/18/2002
06/09/2026

Active Supervisor

NameTypeStatusApprovedInactive
Lakey, Jody LeRoy, Jr, DO DO Active 08/23/2024

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 5/10/2026 4:17:01 PM
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