REYNOLDS WAYNE WADE
Controlled Substance Registration - Physician
Indiana 01017849B Expired
This Indiana license was held by REYNOLDS WAYNE WADE. The license is no longer active. It was granted on 06/30/1986 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 01017849B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 06/30/1986 (almost 39 years ago)
- Expiry Date: 06/30/1993 (almost 32 years ago)
LOCATIONS
A Address
6813 LONDONDERRY LANE, FORT WAYNE IN 46835