DEBRA RENAE JACKOWNIAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039617

License Status

EXPIRED

Business

First Name

DEBRA

Middle

RENAE

Last Name

JACKOWNIAK

Suffix

Business Name

DEBRA RENAE JACKOWNIAK MD

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

06/23/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006