9601783
Inactive
Yes
11/23/1996
07/02/2025
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 |
|
07/03/2025
| Voluntary Surrender Acknowledgement |
View
|
|
07/02/2025
| Voluntary Surrender of License |
View
|
|
11/23/2009
| Consent Order |
View
|
|
08/13/2009
| Order to Continue |
View
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|
08/12/2009
| Motion to Continue |
View
|
|
07/10/2009
| Notice of Charges and Allegations; Notice of Hearing |
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 |
|
09/05/2023
| Illinois Department of Professional Regulation | Request for withdrawal of medical licensure application granted |
View
|
|
10/25/2021
| Missouri Board of Registration for the Healing Arts | Application for medical license granted with conditions |
View
|
|
10/06/2021
| Missouri Board of Registration for the Healing Arts | Application for medical licensure denied based on action taken by Louisiana State Board of Medical Examiners |
View
|
|
01/24/2017
| Arizona Medical Board | Medical license issued on probation |
View
|
|
02/17/2015
| Florida Board of Medicine | $1,000 fine |
View
|
|
12/14/2012
| South Carolina Board of Medical Examiners | Reprimand for failing to report North Carolina Board Action |
View
|
|
12/17/2010
| Florida Board of Medicine | Reprimand, license suspended, completion of Laws and Rules course required, $5,000 fine due to North Carolina Board action |
View
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|
08/01/2010
| Nebraska Board of Medicine and Surgery | Non-disciplinary assurance of compliance due to North Carolina Board action |
View
|
|
07/22/2010
| Tennesse Board of Medical Examiners | Reprimand due to North Carolina Board action |
View
|
|
03/23/2005
| Nebraska Board of Medicine and Surgery | Limitation |
View
|
|
11/10/1998
| Florida Board of Medicine | Reprimand; Community service; $4,500 fine |
View
|
|
12/15/1995
| Florida Board of Medicine | Reprimand; Medical license restricted; Two-years probation and $6,000 fine (11/07/2007 restrictions lifted) |
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 |