Information as of 04/22/2018

Last Updated by Licensee on 09/26/2017

Selwyn George Daniel PA-C
License#: 
Issue Date: 
103165
10/02/2001
License Status: 
Renewal Date:
Active  
09/28/2018  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 103165PA-C10/02/2001 
Inactive License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 103165 10/02/200110/02/2001
Active Supervisor
SupervisorTypeStatusApproval Date
Jackson, Anita Louise MDActive07/31/2013
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
South Carolina
Out of Country Active/Inactive Licenses
None Reported