NICHOLAS MICHAEL BREMENT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072230

License Status

CANCELLED

Business

Title

First Name

NICHOLAS

Middle

MICHAEL

Last Name

BREMENT

Business Name

NICHOLAS MICHAEL BREMENT MD

Original Issue Date

06/22/2018

Effective Date

06/22/2018

Expiration Date

06/21/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/11/2018