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Licensee Information

Joseph Isaac Licata - PA-C
0010-06709
Active
No
09/09/2016
05/17/2027

Active Supervisor

NameTypeStatusApprovedInactive
Hofler, Ryan Christopher, MD MD Active 03/30/2026
Imbarrato, Gregory James, DO DO Active 06/12/2025
Marky, Andrew Hall, MD MD Active 06/28/2023
Munyon, Charles Nelson, MD MD Active 06/16/2022

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
None Reported

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 8:58:24 PM
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