MARK D WADE OD - Optometrist License in Missouri | # 34*****89

MARK D WADE OD

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****89

License Status

NOT RENEWED

Business

N

Title

OD

First Name

MARK

Middle

D

Last Name

WADE

Business Name

MARK D WADE OD

Original Issue Date

12/12/2006

Effective Date

04/01/2016

Expiration Date

03/31/2018

State

MO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

06/19/2018