NICOLE YUKO WAKIMOTO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078011

License Status

EXPIRED

Business

Title

First Name

NICOLE

Middle

YUKO

Last Name

WAKIMOTO

Business Name

NICOLE YUKO WAKIMOTO MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/30/2024