9400628
Inactive
Yes
01/30/2018
05/07/2019
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 |
05/07/2019
| Consent Order |
View
|
10/16/2018
| Interim Non-Practice Agreement |
View
|
01/03/2018
| Consent Order |
View
|
08/18/2006
| Consent Order |
View
|
07/19/2006
| Affidavit of Service |
View
|
06/30/2006
| Notice of Charges and Allegations; Notice of Hearing |
View
|
02/17/2006
| Consent Order |
View
|
12/19/2002
| Consent Order |
View
|
10/04/2002
| Affidavit of Service |
View
|
09/19/2002
| Notice of Charges and Allegations; Notice of Hearing |
View
|
08/06/2002
| Voluntary Surrender Acknowledgement |
View
|
08/05/2002
| Voluntary Surrender of License |
View
|
04/17/2002
| Temporary Medical License |
View
|
12/19/2001
| Temporary Medical License |
View
|
11/15/2001
| Temporary Medical License |
View
|
05/17/2001
| Temporary Medical License |
View
|
02/26/2001
| Temporary Medical License |
View
|
02/21/2001
| Consent Order |
View
|
01/27/1999
| Voluntary Surrender Acknowledgement |
View
|
01/23/1999
| Notice of Dismissal |
View
|
01/05/1999
| Voluntary Surrender of License |
View
|
12/18/1998
| Notice of Hearing |
View
|
03/23/1996
| Notice of Charges and Allegations |
View
|
03/23/1996
| Order of Summary Suspension of License |
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 |
02/13/2019
| Rhode Island Board of Medical Licensure and Discipline | Surrender of medical license |
View
|
09/26/2018
| Rhode Island Board of Medical Licensure and Discipline | Medical license suspended |
View
|
04/11/2018
| Rhode Island Board of Medical Licensure and Discipline | Prior Order of the Board Modified |
View
|
06/14/2017
| Rhode Island Board of Medical Licensure and Discipline | Medical license reinstated with conditions |
View
|
10/23/2010
| Wyoming Board of Medicine | Voluntary surrender of medical license |
View
|
03/19/1997
| South Carolina Board of Medical Examiners | Application for licensure denied |
View
|
03/12/1996
| Rhode Island Board of Medical Licensure and Discipline | Voluntary surrender of medical license |
View
|
12/27/1995
| New York State Office of Professional Medical Conduct | Voluntary surrender of medical license |
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 |