Information as of 08/12/2020

Last Updated by Licensee on 03/24/2020

Dennis Charles Polley - DO Full and Unrestricted
License#: 
Issue Date: 
27881
03/17/1984
License Status: 
Renewal Date:
Active  
04/14/2021  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
 27881 03/17/1984 
Inactive License
Active Supervisee
SuperviseeTypeStatusApproval Date
Amos, Clifford George PAActive10/24/2005
Marascalco, Ronald Frank PAActive01/17/2019
Polley II, Dennis Charles PAActive05/10/2016
Reasbeck, Philip George PAActive05/28/2014
Shakir, Mohammed Saeb PAActive04/12/2020
WILKINSON, JOSEPH NPActive07/10/2020
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Colorado
Out of Country Active/Inactive Licenses
None Reported