Information as of 08/04/2020

Last Updated by Licensee on 01/26/2020

Caroline Elizabeth Conkwright PA-C
License#: 
Issue Date: 
0010-05703
04/16/2015
License Status: 
Renewal Date:
Active  
04/13/2021  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 0010-05703PA-C04/16/2015 
Inactive License
Active Supervisor
SupervisorTypeStatusApproval Date
Menon, Padman Achutha MDActive11/28/2016
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Virginia
Out of Country Active/Inactive Licenses
None Reported