Information as of 09/30/2020

Last Updated by Licensee on 07/02/2020

Jacob William McDougall PA-C
License#: 
Issue Date: 
0010-06933
01/03/2017
License Status: 
Renewal Date:
Active  
07/06/2021  
 Public Action: No
  
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 0010-06933PA-C01/03/2017 
Inactive License
Active Supervisor
SupervisorTypeStatusApproval Date
Walker, Brian Anthony DOActive11/04/2019
Yaeger, Edwin Paul DOActive04/05/2019
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
None Reported
Out of Country Active/Inactive Licenses
None Reported