Information as of 07/21/2019

Last Updated by Licensee on 07/24/2013

Randall Eugene Lewis PA-C
License#: 
Issue Date: 
0010-01908
06/19/2012
License Status: 
Expire Date:
Inactive  
10/22/2014  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Inactive License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
Failed to Register0010-01908PA-C06/19/201210/22/2014
Revoked0010-01908PA-C06/19/201210/22/2014
By Request0010-01908PA-C07/22/200908/25/2010
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
New Mexico
South Carolina
Out of Country Active/Inactive Licenses
None Reported