JAD JOSEPH WAKIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159265

License Status

NOT RENEWED

Business

Title

First Name

JAD

Middle

JOSEPH

Last Name

WAKIM

Business Name

JAD JOSEPH WAKIM MD

Original Issue Date

01/25/2022

Effective Date

01/25/2022

Expiration Date

07/31/2023

City

ROCK SPRINGS

State

Zip

82901

Ever Disciplined

LastModifiedDate

11/30/2023