License holder summary

WILEY SAM DENNIS is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for WILEY SAM DENNIS is Gautier MS 39553. This medical practitioner license is not current. The license was granted 12/20/2004 and expired on 12/31/2006.

Department of State

Board of Medicine

WILEY SAM DENNIS
Medical Physician And Surgeon
License number
MD425566
Date granted
12/20/2004
Date expires
12/31/2006
Class
Medical Physician And Surgeon
Status
Inactive
Address
Gautier MS 39553
medicinepa.com
ID 37604619
LAST UPDATED 2024-03-20 10:10:28 UTC

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