AMANDA M MACEJKO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

MACEJKO

Business Name

AMANDA M MACEJKO

Original Issue Date

12/12/2006

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

WINNETKA

State

Zip

60093

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023