Information as of 08/09/2020

Last Updated by Licensee on 04/25/2020

Thomas Anthony Bahleda - MD Full and Unrestricted
License#: 
Issue Date: 
2012-01782
11/23/2016
License Status: 
Renewal Date:
Active  
05/09/2021  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 2012-01782 11/23/2016 
 2012-01782 08/30/2012 
Inactive License
Active Supervisee
SuperviseeTypeStatusApproval Date
ANDREWS, TRACY NPActive03/12/2015
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Virginia
Out of Country Active/Inactive Licenses
None Reported