VIRGINIA ANNE WADE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

First Name

VIRGINIA ANNE

Last Name

WADE

Suffix

Business Name

VIRGINIA ANNE WADE MD

Original Issue Date

01/01/1997

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

ARCOLA

State

Zip

61910

County

DOUGLAS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023