State Seal
Current as of 07/06/2020 14:12
License Information
License Number0101047764
OccupationMedicine & Surgery
Address NORFOLK, VA 23510
Initial License Date 02/28/1992
Expire Date 09/30/2020
License StatusCurrent Active
Additional Public Information* No

This serves as primary source verification of the credential issued by the Commonwealth of Virginia and meets the requirements of the Joint Commission.

* "Yes" means that there is information the Department must make available to the public pursuant to §54.1-2400.2.H of the Code of Virginia; please note that this may also include proceedings in which a finding of “no violation” was made. For additional information click on the "Yes" link above. "No" means no documents are available.