JULIANNA ROTH JAKUBOWSKI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036583

License Status

CANCELLED

Business

Title

First Name

JULIANNA

Middle

ROTH

Last Name

JAKUBOWSKI

Business Name

JULIANNA ROTH JAKUBOWSKI MD

Original Issue Date

06/11/1997

Effective Date

06/11/1997

Expiration Date

06/21/2000

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006