Information as of 09/30/2020

Last Updated by Licensee on 01/02/2020

Glenn Foster Tripp PA-C
License#: 
Issue Date: 
103877
09/23/2003
License Status: 
Renewal Date:
Active  
01/04/2021  
 Public Action: No
  
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 103877PA-C09/23/2003 
Inactive License
Active Supervisor
SupervisorTypeStatusApproval Date
Yaeger, Edwin Paul DOActive08/07/2012
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
None Reported
Out of Country Active/Inactive Licenses
None Reported