TIMOTHY SHANE WAKEFIELD DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038009620

License Status

INACTIVE

Business

First Name

TIMOTHY

Middle

SHANE

Last Name

WAKEFIELD

Suffix

Business Name

TIMOTHY SHANE WAKEFIELD DC

Original Issue Date

02/26/2002

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

COLUMBIA

State

Zip

29210

Ever Disciplined

LastModifiedDate

05/12/2023