Information as of 09/30/2020

Last Updated by Licensee on 09/10/2020

Carrie Lee Waters PA-C
License#: 
Issue Date: 
104038
06/25/2004
License Status: 
Renewal Date:
Active  
09/30/2021  
 Public Action: No
  
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 104038PA-C06/25/2004 
Inactive License
Active Supervisor
SupervisorTypeStatusApproval Date
Armitage, Mark Samuel Thomas MDActive02/17/2009
Wilkins, Lucien Sanders MDActive03/23/2018
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
None Reported
Out of Country Active/Inactive Licenses
None Reported