IJAZ AHMAD JATALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052306

License Status

NOT RENEWED

Business

First Name

IJAZ AHMAD

Last Name

JATALA

Suffix

Business Name

IJAZ AHMAD JATALA MD

Original Issue Date

01/16/1976

Effective Date

06/19/2008

Expiration Date

07/31/2011

City

INA

State

Zip

62846

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/14/2011