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Licensee Information

Laurice Dominick Ingram - PA-C
0010-10767
Active
No
11/03/2020
10/16/2026

Active Supervisor

NameTypeStatusApprovedInactive
Kahle, Caroline Holleck, MD MD Active 10/04/2024
Mackie, Crystal Monique, MD MD Active 01/02/2025

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
South Carolina

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 12:58:18 PM
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