License Search: Details

Name	Title	Primary Practice Location	Licensed Or Has Been Licensed In
Christine Shawn Wade	PA		PA, NY, VT

License Type	License Number	Status	License Date	Expiration Date
PPA	904	Active	01/07/2002	03/31/2027

School	Date Completed	Nature of Training
Alderson Broaddus College	05/10/2003	Physician Assistant School

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Other License Action	09/29/2025	Consent Order

No Malpractice Cases On Record

Collaborating Physician	Authorized to Practice	Authorized to Prescribe	Primary Work Location	Designated Alternate Supervisor(s)

This data was retrieved on 4/17/2026.

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