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Licensee Information

Andrew Thomas Doherty - PA-C
0010-06643
Active
No
08/08/2016
01/28/2027

Active Supervisor

NameTypeStatusApprovedInactive
Russell, Gregory Alan, MD MD Active 01/23/2024

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Illinois

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/13/2026 5:59:12 PM

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