Information as of 09/30/2020

Last Updated by Licensee on 09/02/2019

Lisa Koontz Paitsel PA-C
License#: 
Issue Date: 
103429
12/20/2001
License Status: 
Renewal Date:
Active  
11/15/2020  
 Public Action: No
  
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 103429PA-C12/20/2001 
Inactive License
Active Supervisor
SupervisorTypeStatusApproval Date
Benson II, Richard Thomas MDActive03/05/2020
Penrose, John Frederick MDActive05/20/2016
Piramzadian, Arin DOActive07/02/2020
Tripp, Joseph Elliott MDActive09/15/2014
Yaeger, Edwin Paul DOActive06/28/2017
North Carolina Hospital Admitting Privileges
Columbus Regional Healthcare System
Vidant Chowan Hospital
Wilson Medical Center
Out of State Active/Inactive Licenses
Georgia
Michigan
West Virginia
Out of Country Active/Inactive Licenses
None Reported