JACK JOSEPH AMJA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152977

License Status

NOT RENEWED

Business

Title

First Name

JACK

Middle

JOSEPH

Last Name

AMJA

Business Name

JACK JOSEPH AMJA MD

Original Issue Date

05/13/2020

Effective Date

05/13/2020

Expiration Date

07/31/2023

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023