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Licensee Information
Lisa Petronella Shock - PA-C
102885
Active
No
01/22/2000
02/21/2025

Active Supervisor

NameTypeStatusApprovedInactive
Cusick, Howard Thomas, III, MD MD Active 08/12/2024
Patel, Chaitany Rasikbhai, MD MD Active 06/24/2022
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

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 12/4/2024 1:25:48 AM

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