Information as of 09/30/2020

Last Updated by Licensee on 12/05/2019

Andrea Leslie Payne PA-C
License#: 
Issue Date: 
103641
10/17/2002
License Status: 
Renewal Date:
Active  
12/17/2020  
 Public Action: No
  
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 103641PA-C10/17/2002 
Inactive License
Active Supervisor
SupervisorTypeStatusApproval Date
Brezinski, Damian Alexander MDActive10/01/2019
Penrose, John Frederick MDActive05/24/2016
Verlangieri, Anne Marie MDActive04/11/2019
North Carolina Hospital Admitting Privileges
Columbus Regional Healthcare System
New Hanover Regional Medical Center
Out of State Active/Inactive Licenses
None Reported
Out of Country Active/Inactive Licenses
None Reported