Licensee Information

Information as of 06/19/2013

Last Updated by Licensee on 08/01/2010

Michael Warren Kilby - MD

License#:	9801335	License Status:	Inactive	Expire Date:	09/06/2012
Issue Date:	09/19/1998	Renewal Date:	07/26/2011

Licensee General InformationPractice Information Education, Certifications & Area of Practice Memberships, Honors, Awards, & Public Service Academic Appointments & Publications Actions – Regulatory Board, Agency, & Health Care Institution Malpractice Convictions

Licensee General Information

Licensee Limitations

License Limitations:

North Carolina Hospital Admitting Privileges

Pioneer Community Hospital of Stokes

Out of State Active/Inactive Licenses

Wisconsin

Out of Country Active/Inactive Licenses

None Reported

Year of Birth: 1956

Education, Certifications & Area of Practice

Medical School

American Univ. Of Carribean

Year of Graduation:

1991

Post Graduate Training

"Last Year of Training" 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 of Training
St. Lukes Hospital	Family Practice	WI	USA	Residency	1995
St. Lukes Hospital	Family Practice	WI	USA	Internship	1991

Current ABMS or AOA Board Certification and Year of Certification/Recertification

Primary/Subspecialty	Year
Family Medicine	1995

Area of Practice

Area Of Practice	Primary Area of Practice
Emergency Medicine
Family Medicine

Years of active clinical practice:

Actions – Regulatory Board, Agency, & Health Care Institution

North Carolina Medical Board Public Actions

This section indicates whether the North Carolina Medical Board has taken public action regarding the licensee. Actions may or may not be disciplinary in nature. 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 not posted on this site but may be obtained by contacting the Board.

NCMB public actions are posted on this site indefinitely.

Date	Description	Link
09/06/2012	Consent Order	View
01/13/2011	Voluntary Surrender	View
01/13/2011	Surrender Acknowledgement Ltr	View

North Carolina Medical Board Reentry Agreement

None Reported

Other Regulatory Board or Agency Public Actions

None Reported

Health Care Institution Suspensions and Revocations

None Reported

Stokes-Reynolds Hospital ER	(336) 593-5336
Hospice St
Danbury, NC 27016

Days patients are seen at this practice:
Practice Philosophy:
Non-English languages spoken by licensee:
Non-English languages spoken in office:
Participates in Medicare:
Accepting new Medicare Patients:
Participates in Medicaid:
Accepting new Medicaid Patients:
Uses electronic medical records:

Conviction Date	Conviction	Jurisdiction	Sentence
08/10/2012	Driving While Impaired	NC	$100 fine, driver license revoked

Conviction Date	Conviction	Jurisdiction	Sentence
08/10/2012	Driving While Impaired	NC	$400 fine, driver license revoked

Licensee Information

Licensee General Information

Licensee Limitations

Active License

Inactive License

North Carolina Hospital Admitting Privileges

Out of State Active/Inactive Licenses

Out of Country Active/Inactive Licenses

Year of Birth: 1956

Practice Information

Address

Information

Education, Certifications & Area of Practice

Medical School

Post Graduate Training

Current ABMS or AOA Board Certification and Year of Certification/Recertification

Area of Practice

Memberships, Honors, Awards, & Public Service

Current Membership in Medical Professional Organizations

Honors and Awards

Professional Service

Academic Appointments & Publications

Current Academic Appointments

Publications

Actions – Regulatory Board, Agency, & Health Care Institution

North Carolina Medical Board Public Actions

North Carolina Medical Board Reentry Agreement

Other Regulatory Board or Agency Public Actions

Health Care Institution Suspensions and Revocations

Malpractice

Malpractice Information

Convictions

Misdemeanor/DUI/DWI Conviction Information

Felony Conviction Information

Reason Code	License Number	Subcategory	Issue Date	Expire Date
Surrendered	9801335		09/19/1998	01/13/2011
Suspended Indefinitely	9801335		09/19/1998	09/06/2012