NICHOLAS DANIEL STEPNOSKI DPM Podiatrist License verification

Business Entity

CANCELLED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000946

License Status

CANCELLED

Business

Title

DPM

First Name

NICHOLAS

Middle

DANIEL

Last Name

STEPNOSKI

Business Name

NICHOLAS DANIEL STEPNOSKI DPM

Original Issue Date

05/11/2017

Effective Date

06/25/2017

Expiration Date

06/25/2020

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/21/2017