TIMOTHY SHANE WAKEFIELD DC - Medical Doctor License in South Carolina | # 038009620

TIMOTHY SHANE WAKEFIELD DC

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038009620

License Status

INACTIVE

Business

N

First Name

TIMOTHY

Middle

SHANE

Last Name

WAKEFIELD

Suffix

DC

Business Name

TIMOTHY SHANE WAKEFIELD DC

Original Issue Date

02/26/2002

Effective Date

07/18/2011

Expiration Date

07/31/2014

State

SC

Ever Disciplined

N

LastModifiedDate

05/12/2023