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Licensee Information

Kelly Ann Brillant - PA-C
0010-01820
Active
Yes
05/19/2009
03/05/2027
See: Actions-Adverse & Administrative Tab

Active Supervisor

NameTypeStatusApprovedInactive
Fountain, Raetta Bevan, MD MD Active 12/26/2024
Rosen, Robert Dean, MD MD Active 09/25/2013

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Florida

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 4:19:06 PM
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