The holder whose full name is Haller-Wade, Tina Marie,come from Kingston IL,hold the Osteopathic Physician license(NO.02001250A) which status is Active.
| Name | Haller-Wade, Tina Marie |
|---|---|
| License Number | 02001250A |
| License Type | Osteopathic Physician |
| License Status | Active |
| City | Kingston |
| State | IL |