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Licensee Information

Lisa Petronella Shock - PA-C
102885
Active
No
01/22/2000
02/21/2027

Active Supervisor

NameTypeStatusApprovedInactive
Cusick, Howard Thomas, III, MD MD Active 08/12/2024
Onafowokan, Joel Adedoyin, MD MD Active 08/09/2025
Simpson-Tarokh, Leann Rae, DO DO Active 10/13/2024

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
North Carolina
Tennessee

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 3:30:35 PM
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