Information as of 08/05/2020

Last Updated by Licensee on 02/27/2020

Timothy Michael Gast PA-C
License#: 
Issue Date: 
102365
01/24/1998
License Status: 
Renewal Date:
Active  
03/20/2021  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 102365PA-C01/24/1998 
Inactive License
Active Supervisor
SupervisorTypeStatusApproval Date
Puri, Sankalp MDActive09/03/2019
White, Jeffrey Jason MDActive12/03/2019
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
None Reported
Out of Country Active/Inactive Licenses
None Reported