Information as of 08/05/2020

Last Updated by Licensee on 11/10/2019

Edward Roddy Mogabgab - MD Full and Unrestricted
License#: 
Issue Date: 
9501609
03/03/2015
License Status: 
Renewal Date:
Active  
12/13/2020  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 9501609 03/03/2015 
 9501609 11/18/1995 
Inactive License
Active Supervisee
SuperviseeTypeStatusApproval Date
Gomes, Alvaro A PAActive07/18/2016
Waronsky, Roy George PAActive01/06/2017
North Carolina Hospital Admitting Privileges
Atrium Health Mercy
Out of State Active/Inactive Licenses
Illinois
Louisiana
Out of Country Active/Inactive Licenses
None Reported