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
LAST UPDATED 2024-03-17 19:50:19 UTC
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