200101455
Inactive
Yes
11/16/2001
05/09/2019
See: Actions-Adverse & Administrative Tab
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 |
10/20/2022
| Entry of Revocation |
View
|
07/14/2022
| Notice of Revocation |
View
|
09/05/2018
| Interim Non-Practice Agreement |
View
|
03/13/2013
| Consent Order |
View
|
Other Regulatory Board or Agency Public Actions
This section indicates whether a regulatory authority other than NCMB has taken public action against the
licensee. Out-of-state medical board actions are posted on this website indefinitely. Actions by regulatory
agencies such as Medicare, Medicaid, the U.S. Drug Enforcement Administration, the U.S. Food and Drug Administration,
etc., are posted for a period of seven years, from the date of the action.
Date | Name of Board/Agency | Action Taken | Link |
05/18/2023
| U.S. Department of Health & Human Services | Placed on Medicaid/Medicare exclusion list |
|
01/13/2021
| State Medical Board of Ohio | Revocation of medical license; $1,000 fine based on action taken by the state medical boards of Pennsylvania, Wisconsin, North Carolina and South Carolina |
View
|
07/17/2013
| State of Wisconsin Department of Safety and Professional Services | Reprimanded based on action taken by the North Carolina Medical Board; Conditions placed on medical license; Physician required to notify Board of intent to practice |
View
|
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 |