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Licensee General Information Practice Information Education,
Certifications,
& Area of Practice Memberships,
Honors, Awards
& Public Service Academic Appointments
& Publications Actions - Adverse
& Administrative Malpractice Convictions

Licensee Information

Stacy Lynn Boulton - MD

License #:

2012-01548

License Status:

Active

Public Action:

No

Issue Date:

08/02/2012

Renewal Date:

03/02/2027

Active Supervisees

Name	Type	Status	Approved	Inactive
Bunn, Elise Rachelle	Physician Assistant	Active	06/09/2025

North Carolina Hospital Admitting Privileges

Location
WakeMed

Out of State Active/Inactive Licenses

State
Georgia
Kentucky
Ohio

Out of Country Active/Inactive Licenses

Country
Kenya

Information loaded from this database is current as of 5/10/2026 3:27:03 PM

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