License holder summary

Mark Jeffrey Wade is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Mark Jeffrey Wade is Countyline Medical Pavillion, 333 E County Line Road, Greenwood IN 46143. This licensed professional license is not current. The license was granted 01/02/2013 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Mark Jeffrey Wade
Controlled Substance Registration - Physician
License number
01072019B
Date granted
01/02/2013
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Countyline Medical Pavillion, 333 E County Line Road, Greenwood IN 46143
indianalicensing.org
ID 5862095
LAST UPDATED 2024-03-06 15:27:28 UTC

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