JAMILA AISHA WADE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

JAMILA

Middle

AISHA

Last Name

WADE

Suffix

Business Name

JAMILA AISHA WADE MD

Original Issue Date

03/22/2016

Effective Date

03/22/2016

Expiration Date

07/31/2017

City

SOUTH CHICAGO

State

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017