9701826
Active
Yes
07/18/2013
07/22/2027
See: Actions-Adverse & Administrative Tab
Active Supervisees
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Streamline Healthcare
1415 S 3rd st
Wilmington, NC 28401
910-998-5893
Information
Mon-Friday 8-5
I serve as a Family Practice Physician on a medical team that provides comprehensive, primary and preventive health care to the local community. We specialize in caring for the general public and providing focused health care with compassion, sincerity and efficiency.
Spanish
Spanish
Yes
No
Yes
No
Yes
Medical School
| School | Graduation |
| Philadelphia Coll Of Osteopath | 1992 |
Post Graduate Training
"Last Year" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)
| Institution | Specialty | State, Country | Training Program | Last Year |
| Womack Army Medical Center | Family Practice |
NC, US
| Residency | 1997 |
| Fitzsimons Army Medical Center | Other - Transitional Internship |
CO, US
| Internship | 1993 |
Current Board Certification and Year of Certification/Recertification
Physicians should not list non-ABMS or non-AOA specialty boards unless the board meets the criteria set forth in the NC Medical Board’s Advertising and Publicity Position Statement.
| Primary/Subspecialty | Year |
| Family Medicine | 2015 |
Area of Practice
| Area Of Practice | Primary |
| Family Medicine | Yes |
| Public Health & General | |
Current Membership in Medical Professional Organizations
| Membership |
| American Academy of Family Physicians |
| North Carolina Medical Society |
| North Carolina Osteopathic Medical Society |
| Uniformed Services Academy of Family Physicians |
| Urgent Care Association of America |
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
This section indicates whether the North Carolina Medical Board has taken adverse public action regarding the
licensee. Click on the link or links below to see an electronic copy of public documents associated with the
licensee.
Certain public documents, such as hearing transcripts, are listed but are not posted on the site. If the record
indicates a transcript is available, it may be obtained by contacting the Board.
NCMB public actions are posted on this site indefinitely.
| Date | Description | Link |
|
04/15/2016
| Relief of Consent Order Obligations |
View
|
|
07/18/2013
| Full and Unrestricted License |
View
|
|
01/28/2013
| Temporary Medical License |
View
|
|
01/28/2013
| Consent Order |
View
|
|
04/04/2012
| Consent Order |
View
|
|
01/23/2012
| Voluntary Surrender Acknowledgement |
View
|
|
01/20/2012
| Voluntary Surrender of License |
View
|
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
| Date | Description | Link |
| None Reported |
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 |