Information as of 08/12/2020

Last Updated by Licensee on 03/26/2019

Jerry William Wiley - MD
License#: 
Issue Date: 
21616
05/06/1977
License Status: 
Expire Date:
Inactive  
11/14/2017  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Inactive License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
Surrendered21616 05/06/197711/14/2017
  RTL08/01/1974 
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Pennsylvania
Out of Country Active/Inactive Licenses
None Reported