Information as of 09/30/2020

Last Updated by Licensee on 02/03/2020

Elena Polyanskaya Ruppe PA-C
License#: 
Issue Date: 
103972
01/23/2004
License Status: 
Renewal Date:
Active  
02/16/2021  
 Public Action: No
  
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 103972PA-C01/23/2004 
Inactive License
Active Supervisor
SupervisorTypeStatusApproval Date
Mendes, Celia Maria MDActive09/28/2009
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
North Carolina
Out of Country Active/Inactive Licenses
None Reported