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Licensee Information

Collin James Johansen - PA-C
0010-15473
Active
No
06/29/2025
06/26/2026

Active Supervisor

NameTypeStatusApprovedInactive
Glass, Stuart William, DO DO Active 10/14/2025

North Carolina Hospital Admitting Privileges

Location
None Reported

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 3:27:17 PM
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