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Licensee Information

Eugenio DeJesus Gonzalez - PA-C
103739
Active
No
04/24/2003
05/23/2027

Active Supervisor

NameTypeStatusApprovedInactive
Chavis, Kenyon Mala, MD MD Active 11/04/2025
Tambakis-Odom, Constance Roseann, MD MD Active 10/17/2025

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 5/10/2026 7:12:49 PM
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