Information as of 08/05/2020

Last Updated by Licensee on 05/29/2019

Elizabeth Owens Gildersleeve PA-C
License#: 
Issue Date: 
102667
05/29/2019
License Status: 
Expire Date:
Inactive  
07/30/2019  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Inactive License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
By Request102667PA-C05/29/201907/30/2019
By Request102667PA-C10/26/199801/19/2018
North Carolina Hospital Admitting Privileges
Frye Regional Medical Center
St. Joseph's Hospital
Out of State Active/Inactive Licenses
Massachusetts
Washington
Out of Country Active/Inactive Licenses
None Reported