DEBRA L WADE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137497

License Status

INACTIVE

Business

Title

First Name

DEBRA

Middle

Last Name

WADE

Business Name

DEBRA L WADE MD

Original Issue Date

03/06/2015

Effective Date

03/06/2015

Expiration Date

07/31/2017

City

HOLMEN

State

Zip

54636

Ever Disciplined

LastModifiedDate

03/30/2015