NICOLAS BENJAMIN KREPOSTMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156803

License Status

NOT RENEWED

Business

Title

First Name

NICOLAS

Middle

BENJAMIN

Last Name

KREPOSTMAN

Business Name

NICOLAS BENJAMIN KREPOSTMAN MD

Original Issue Date

05/03/2021

Effective Date

05/03/2021

Expiration Date

07/31/2023

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023