Information as of 08/05/2020

Last Updated by Licensee on 10/02/2019

Richard Philip Holm - MD Full and Unrestricted
License#: 
Issue Date: 
200401073
08/18/2004
License Status: 
Renewal Date:
Active  
11/03/2020  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 200401073 08/18/2004 
Inactive License
Active Supervisee
SuperviseeTypeStatusApproval Date
Henderson, Kristin Lee PAActive02/23/2019
Hutchins, Keith Leon PAActive10/13/2006
THOMAS, VICKY NPActive02/06/2012
North Carolina Hospital Admitting Privileges
Halifax Regional Medical Center, Inc.
Out of State Active/Inactive Licenses
California
Virginia
Out of Country Active/Inactive Licenses
None Reported