TINA HALLER-WADE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121323

License Status

ACTIVE

Business

First Name

TINA

Last Name

HALLER-WADE

Business Name

TINA HALLER-WADE

Original Issue Date

06/30/2008

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

04/26/2023