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Licensee Information

Justin Allen Clark - PA-C
0010-16098
Active
No
12/05/2025
05/04/2027

Active Supervisor

NameTypeStatusApprovedInactive
Williams, Dominic Marc, DO DO Active 12/09/2025

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Arizona
California
Florida
Virginia

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 1:00:16 PM
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