License holder summary

Dwaine A. Siade is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Dwaine A. Siade is Activate Health Care, 611 E Lincoln Way, South Bend IN 46601. This licensed professional license is current. The license was granted 12/07/2007 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Dwaine A. Siade
Controlled Substance Registration-Physician Assistant
License number
10000778B
Date granted
12/07/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Activate Health Care, 611 E Lincoln Way, South Bend IN 46601
indianalicensing.org
ID 8388522
LAST UPDATED 2024-04-05 13:19:37 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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