License holder summary

SAMUEL MICHAEL THEAGENE is a Graduate Medical Trainee licensed to practice in Pennsylvania. This medical practitioner license is not current. The license was granted 07/25/1990 and expired on 07/24/1991.

Department of State

Board of Medicine

SAMUEL MICHAEL THEAGENE
Graduate Medical Trainee
License number
MT024514T
Date granted
07/25/1990
Date expires
07/24/1991
Class
Graduate Medical Trainee
Status
Inactive
medicinepa.com
ID 37571965
LAST UPDATED 2026-04-14 00:00:02 UTC

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