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Licensee Information

Lila T Divine - PA-C
0010-14463
Active
No
08/13/2024
05/20/2027

Active Supervisor

NameTypeStatusApprovedInactive
Martin, Steve Marshall, Jr, MD MD Active 06/11/2025

North Carolina Hospital Admitting Privileges

Location
Novant Health Matthews Medical Center

Out of State Active/Inactive Licenses

State
California

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 12:06:54 PM
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