Information as of 08/12/2020

Last Updated by Licensee on 11/11/2016

Roger Dale Waddell - MD
License#: 
Issue Date: 
30105
09/20/2007
License Status: 
Expire Date:
Inactive  
08/18/2017  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 30105 09/20/2007 
 30105 09/21/2006 
 30105 09/21/200609/30/2007
Inactive License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
Surrendered30105 09/20/200708/18/2017
 30105 01/19/200609/30/2006
 30105 07/21/200501/31/2006
 30105 01/20/200507/31/2005
 30105 09/23/200401/31/2005
 30105 06/23/200410/31/2004
Surrendered30105 05/03/198611/30/2001
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
None Reported
Out of Country Active/Inactive Licenses
None Reported