Information as of 08/12/2020

Last Updated by Licensee on 03/16/2020

Timothy John Phillips PA-C
License#: 
Issue Date: 
103731
03/20/2003
License Status: 
Renewal Date:
Active  
05/02/2021  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 103731PA-C03/20/2003 
Inactive License
North Carolina Hospital Admitting Privileges
Womack Army Medical Center
Out of State Active/Inactive Licenses
Florida
North Carolina
Out of Country Active/Inactive Licenses
None Reported