AMANDA M MACEJKO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042772

License Status

EXPIRED

Business

First Name

AMANDA

Middle

Last Name

MACEJKO

Business Name

AMANDA M MACEJKO

Original Issue Date

06/19/2001

Effective Date

06/19/2001

Expiration Date

06/24/2007

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

07/03/2007