License holder summary

BLACK, WILEY S, MD is a Medical - Physician licensed to practice in Georgia. The address on file for BLACK, WILEY S, MD is 2626 PARKER TRAIL, Gainesville 30506. This doctor license is current. The license was granted 07/26/1962 and expired on 03/31/2017.

Georgia

Composite Medical Board

BLACK, WILEY S, MD
Medical - Physician
License number
009767
Date granted
07/26/1962
Date expires
03/31/2017
Class
Medical - Physician
Status
Active
Address
2626 PARKER TRAIL
georgiadoctors.net
ID 38028859
LAST UPDATED 2024-02-18 16:46:19 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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