NIKKI MO WYNN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137573

License Status

ACTIVE

Business

Title

First Name

NIKKI

Middle

Last Name

WYNN

Business Name

NIKKI MO WYNN MD

Original Issue Date

03/16/2015

Effective Date

08/03/2023

Expiration Date

07/31/2026

City

FORT WAYNE

State

Zip

46804

County

INDIANA

Ever Disciplined

LastModifiedDate

08/03/2023