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Licensee Information

Jason Robert Hannibal - PA-C
0010-15418
Active
No
06/11/2025
02/09/2027

Active Supervisor

NameTypeStatusApprovedInactive
Glass, Stuart William, DO DO Active 10/15/2025
Kopec, Kathryn Therese, DO DO Active 06/27/2025
Ledoux, Matthew Ronald, MD MD Active 10/15/2025

North Carolina Hospital Admitting Privileges

Location
Camp LeJeune Naval Hospital

Out of State Active/Inactive Licenses

State
California
Connecticut

Out of Country Active/Inactive Licenses

Country
Guam
Information loaded from this database is current as of 5/10/2026 3:24:52 PM
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