BENJAMIN DANIEL KRUMSTOK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101217

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

DANIEL

Last Name

KRUMSTOK

Suffix

Business Name

BENJAMIN DANIEL KRUMSTOK MD

Original Issue Date

09/03/1999

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2023