NICHOLAS JOHN WAKIM II DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160521

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

JOHN

Last Name

WAKIM

Suffix

Business Name

NICHOLAS JOHN WAKIM II DO

Original Issue Date

05/09/2022

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

Ever Disciplined

LastModifiedDate

06/26/2023