License Search: Details

Name Title Specialty Certified Primary Practice Location Licensed Or Has Been Licensed In
Carol Ann Vandiveer MD Verify Specialty Certification
,
CO, TN

License History

License Type License Number Status License Date Expiration Date
PMD 19278 Deceased 12/01/1997 06/30/2001

Education History

School Date Completed Nature of Training
University Of Tennessee, Memphis, College Of Medicine 06/08/1975 Medical or Podiatric School
University Tn Afl Hospital, Memphis 06/30/1978 Post-Graduate Training

Physician Assistant(s) Collaboration

Name
No Current Supervision

Discipline/Board Action History

Discipline/Board Action Type of Action Action Date Public Documents
Yes Reprimand or Censure 12/01/1997

Malpractice History

No Malpractice Cases On Record

This data was retrieved on 4/17/2026.