NICHOLAS JOHN WAKIM II DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

JOHN

Last Name

WAKIM

Suffix

Business Name

NICHOLAS JOHN WAKIM II DO

Original Issue Date

07/20/2022

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

CAROLINA SHORES

State

Zip

28467

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023