TERENCE P WADE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074765

License Status

NOT RENEWED

Business

First Name

TERENCE

Middle

Last Name

WADE

Suffix

Business Name

TERENCE P WADE MD

Original Issue Date

04/03/1987

Effective Date

05/27/2020

Expiration Date

07/31/2023

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/30/2023