TERENCE P WADE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

TERENCE

Middle

Last Name

WADE

Suffix

Business Name

TERENCE P WADE MD

Original Issue Date

02/20/1998

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

04/05/2020