Information as of 08/05/2020

Last Updated by Licensee on 04/11/2020

Kerry Layne Balentine - MD Full and Unrestricted
License#: 
Issue Date: 
2005-00514
05/01/2017
License Status: 
Renewal Date:
Active  
05/03/2021  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 2005-00514 05/01/2017 
 2005-00514 07/12/2012 
Reinstated2005-00514 07/12/2012 
Inactive License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
Surrendered2005-00514 04/20/200511/19/2007
Suspended Indefinitely2005-00514 04/20/200512/14/2007
Active Supervisee
SuperviseeTypeStatusApproval Date
DARDEN, JASON NPActive01/03/2020
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Virginia
Out of Country Active/Inactive Licenses
None Reported