NICHOLAS JOHN WAKIM II DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059819

License Status

EXPIRED

Business

Title

First Name

NICHOLAS

Middle

JOHN

Last Name

WAKIM

Suffix

Business Name

NICHOLAS JOHN WAKIM II DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/04/2015