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Licensee Information
Zesta Shirelle Childers - PA-C
0010-04588
Active
No
10/30/2013
06/07/2025

Active Supervisor

NameTypeStatusApprovedInactive
Benson, Richard Thomas, II, MD MD Active 05/18/2022
Bruckert, Joseph Walter, MD MD Active 06/12/2024
McDaniel, Mark Elliott, DO DO Active 08/23/2023

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Illinois
Missouri
Virginia

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 12/4/2024 6:02:57 PM

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