Information as of 06/22/2018

Last Updated by Licensee on 02/08/2018

Lazaro Gonzales, Jr. PA-C
License#: 
Issue Date: 
0010-02029
09/22/2009
License Status: 
Renewal Date:
Active  
04/23/2019  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 0010-02029PA-C09/22/2009 
Inactive License
Active Supervisor
SupervisorTypeStatusApproval Date
Fukushima, Takanori MDActive03/11/2014
Gonzalez, Luis Fernando MDActive02/27/2014
Hauck, Erik Friedrich MDActive04/16/2017
Zomorodi, Ali Reza MDActive10/20/2009
North Carolina Hospital Admitting Privileges
Duke Health Raleigh Hospital
Duke Raleigh Hospital
Duke University Hospital
Out of State Active/Inactive Licenses
None Reported
Out of Country Active/Inactive Licenses
None Reported