NICHOLAS AJIT NAYAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057066

License Status

ACTIVE

Business

First Name

NICHOLAS AJIT

Last Name

NAYAK

Suffix

Business Name

NICHOLAS AJIT NAYAK MD

Original Issue Date

07/19/1978

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/02/2024