MICHAEL DAVID WADE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****59

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DAVID

Last Name

WADE

Business Name

MICHAEL DAVID WADE

Original Issue Date

04/14/2009

Effective Date

01/16/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/28/2015