0010-05705
Active
Yes
12/12/2023
06/11/2025
See: Actions-Adverse & Administrative Tab
Section 1: Adverse Actions
North Carolina Medical Board Public Actions
Date | Description | Link |
None Reported |
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 |
01/15/2014
| Connecticut Medical Examining Board Department of Public Health | Probation terminated |
View
|
11/17/2011
| Connecticut Medical Examining Board Department of Public Health | Physician Assistant license placed on probation two years; Conditions placed on PA license |
View
|
07/02/2010
| New York State Office of Professional Medical Conduct | Censure; Reprimand; Probation for three years; $5,000 fine; Conditions placed on Physician Assistant license |
View
|
03/04/2010
| National Commission on Certification of Physician Assistants | Censure |
|
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 |
12/01/2023
| Reentry Agreement |
View
|
North Carolina Special Purpose Licensing Agreement
Date | Description | Link |
None Reported |