Information as of 06/17/2019

Last Updated by Licensee on 06/11/2019

Paul Dwayne Collins, MD - Resident Training License
License#: 
Issue Date: 
N/A
06/10/2019
License Status: 
Renewal Date:
Active  
02/08/2020  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
  RTL06/10/2019 
Inactive License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
Revoked200500139 05/25/200707/31/2007
Surrendered200500139 05/25/200707/31/2007
 200500139 11/17/200505/31/2006
Suspended Indefinitely200500139 11/17/200507/24/2006
 200500139 05/20/200511/30/2005
 200500139 01/26/200505/31/2005
  RTL09/20/200111/08/2004
North Carolina Hospital Admitting Privileges
Southeastern Regional Medical Center
Out of State Active/Inactive Licenses
None Reported
Out of Country Active/Inactive Licenses
None Reported