Information as of 08/05/2020

Last Updated by Licensee on 10/04/2019

Brent Ashley Westbrook PA-C
License#: 
Issue Date: 
0010-00569
09/22/2006
License Status: 
Renewal Date:
Active  
10/06/2020  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 0010-00569PA-C09/22/2006 
Inactive License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
Surrendered0010-00569PA-C09/22/200610/01/2013
Suspended Indefinitely0010-00569PA-C09/22/200606/16/2014
Active Supervisor
SupervisorTypeStatusApproval Date
Chiodo, Mary Ann MDActive10/05/2018
Grant, Terry Alan MDActive05/21/2017
North Carolina Hospital Admitting Privileges
Wayne Memorial Hospital
Out of State Active/Inactive Licenses
None Reported
Out of Country Active/Inactive Licenses
None Reported