Information as of 09/30/2020

Last Updated by Licensee on 09/20/2020

David Norman Russell - MD Full and Unrestricted
License#: 
Issue Date: 
25525
08/22/1981
License Status: 
Renewal Date:
Active  
10/14/2021  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 25525 08/22/1981 
Inactive License
Active Supervisee
SuperviseeTypeStatusApproval Date
BRAGG, KRYSTA NPActive06/26/2018
HOLLOWAY, TANA NPActive07/31/2017
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Georgia
Massachusetts
Out of Country Active/Inactive Licenses
None Reported