103252
Inactive
Yes
12/11/2001
03/29/2021
See: Actions-Adverse & Administrative Tab
Active Supervisor
| Name | Type | Status | Approved | Inactive |
| None Reported |
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
New Bern, NC
Information
Just retired from working in my dermatology job of 11+ years.
I have practiced Family medicine, orthopedics and dermatology over my past 20 year period of working as a physician assistant.
No
No
No
No
No
PA School
| School | Graduation |
| East Carolina University Physician Assistant Program | 2001 |
Area of Practice
| Area Of Practice | Primary |
| Dermatology | Yes |
| Family Practice | |
| Orthopedic Sports Medicine | |
Current Membership in Medical Professional Organizations
| Membership |
| American Academy of Physician Assistants |
Honors & Awards
| Honor/Award | Given By | Date |
| None Reported |
Public Service
| Name of Clinic | Service Description | Date |
| None Reported |
Current Academic Appointments
| Title | Institution | City, State, Country |
| None Reported |
Publications
Section 1: Adverse Actions
North Carolina Medical Board Public Actions
| Date | Description | Link |
| None Reported |
Other Regulatory Board or Agency Public Actions
| Date | Name of Board/Agency | Action Taken | Link |
| None Reported |
Health Care Institution Suspensions and Revocations
| Date | Health Care Institution | Action Taken |
| None Reported |
Section 2: Administrative Actions
Actions listed in this section are considered non-disciplinary by the Board. In situations where
administrative actions are taken, the licensee may not have met certain statutory requirements or
may have failed to follow correct administrative procedures.
North Carolina Medical Board Reentry Agreement
The NCMB requires license applicants who have not actively practiced clinical medicine for two or more
years to complete a program of reentry to demonstrate that they are competent to practice. A reentry
candidate must complete a period of practice under the supervision of an approved mentor before he or
she can obtain a full and unrestricted license.
| Date | Description | Link |
|
03/16/2026
| Reentry Non-Completion Letter |
View
|
|
03/06/2025
| Reentry Agreement |
View
|
North Carolina Special Purpose Licensing Agreement
| Date | Description | Link |
| None Reported |
Malpractice Information
The Board is currently reviewing the care that led to this payment.
| Incident Date | Payment Date | Area of Practice | City, State, Country | Response |
| None Reported |
Misdemeanor/DUI/DWI Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |
Felony Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |