BENJAMIN WILLIAM NYKAMP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

WILLIAM

Last Name

NYKAMP

Business Name

BENJAMIN WILLIAM NYKAMP MD

Original Issue Date

09/12/2011

Effective Date

09/12/2011

Expiration Date

07/31/2014

City

GRAND HAVEN

State

Zip

49417

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014