MICHAEL G WADE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

MICHAEL G

Last Name

WADE

Suffix

Business Name

MICHAEL G WADE MD

Original Issue Date

02/25/1985

Effective Date

02/25/1985

Expiration Date

07/31/1996

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006