License holder summary

REYNOLDS WAYNE WADE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for REYNOLDS WAYNE WADE is 6813 LONDONDERRY LANE, FORT WAYNE IN 46835. This licensed professional license is not current. The license was granted 06/30/1986 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

REYNOLDS WAYNE WADE
Controlled Substance Registration - Physician
License number
01017849B
Date granted
06/30/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
6813 LONDONDERRY LANE, FORT WAYNE IN 46835
indianalicensing.org
ID 5854239
LAST UPDATED 2024-03-17 19:50:19 UTC

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