JAMES ROBERT WADE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058808

License Status

EXPIRED

Business

Title

First Name

JAMES

Middle

ROBERT

Last Name

WADE

Business Name

JAMES ROBERT WADE MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/13/2015