CHRISTOPHER WAYNE WADE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

ACTIVE

Business

First Name

CHRISTOPHER

Middle

WAYNE

Last Name

WADE

Business Name

CHRISTOPHER WAYNE WADE

Original Issue Date

11/03/2005

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025