Information as of 08/12/2020

Last Updated by Licensee on 06/01/2020

Stephanie Holton Graves PA-C
License#: 
Issue Date: 
0010-07985
03/26/2018
License Status: 
Renewal Date:
Active  
06/12/2021  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 0010-07985PA-C03/26/2018 
Inactive License
Active Supervisor
SupervisorTypeStatusApproval Date
Brackman, Michael Ryan DOActive10/08/2019
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Maine
Out of Country Active/Inactive Licenses
None Reported