Information as of 08/09/2020

Last Updated by Licensee on 06/03/2020

Timothy Carl Kwiatkowski - MD Full and Unrestricted
License#: 
Issue Date: 
9701443
09/20/1997
License Status: 
Renewal Date:
Active  
07/04/2021  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 9701443 09/20/1997 
Inactive License
Active Supervisee
SuperviseeTypeStatusApproval Date
MOORE, KIMBERLY NPActive10/23/2019
PALINCHIK, BARBARA NPActive11/13/2019
STURDEVANT, PENELOPE NPActive02/18/2020
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Arizona
Georgia
South Carolina
Virginia
Out of Country Active/Inactive Licenses
None Reported