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Licensee Information

Theodore Scott Derse - MD
2022-01023
Active
No
04/21/2022
08/13/2026

Active Supervisees

NameTypeStatusApprovedInactive
Gutierrez, Victoria Nurse Practitioner Active 07/09/2025
Harris, Victoria Lynn Physician Assistant Active 09/29/2025
Hunu, Kafui Adzena Nurse Practitioner Active 06/17/2025
Kaniaru, Elizabeth Wambui Nurse Practitioner Active 11/16/2023
Messina, Ashley Gray Physician Assistant Active 09/11/2025
Norman, Matthew Paul Physician Assistant Active 02/03/2024
Penny, Andrea Reed Nurse Practitioner Active 12/16/2025
Rakes, Jessica Danielle Physician Assistant Active 04/03/2025
Raymundo, Joevelino Sabino Nurse Practitioner Active 10/17/2023
Thorpe, Amelia Tabor Nurse Practitioner Active 05/31/2024

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Illinois
Wisconsin

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 3:06:58 PM
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