Information as of 07/21/2019

Last Updated by Licensee on 07/12/2019

Dennis Michael Mahan - MD
License#: 
Issue Date: 
25053
05/09/1981
License Status: 
Renewal Date:
Active  
08/16/2020  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 25053 05/09/1981 
Inactive License
Active Supervisee
SuperviseeTypeStatusApproval Date
MULHOLLEN, LINDA NPActive06/03/2019
Richardson, KaKeasha Shanika PAActive01/19/2009
Rogers, Anita Ellen PAActive09/30/2016
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
New York
Oregon
Washington
Out of Country Active/Inactive Licenses
None Reported