NICHOLAS ALLEN WAANDERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160404

License Status

NOT RENEWED

Business

Title

First Name

NICHOLAS

Middle

ALLEN

Last Name

WAANDERS

Business Name

NICHOLAS ALLEN WAANDERS MD

Original Issue Date

04/27/2022

Effective Date

04/27/2022

Expiration Date

07/31/2023

City

GRAND HAVEN

State

Zip

49417

Ever Disciplined

LastModifiedDate

11/30/2023