ELAINE LEE WADE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

CANCELLED

Business

First Name

ELAINE LEE

Last Name

WADE

Suffix

Business Name

ELAINE LEE WADE MD

Original Issue Date

08/17/2004

Effective Date

08/17/2004

Expiration Date

07/31/2008

City

HARVEY

State

Zip

60426

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020