JACEK LOUIS UBAKA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052159

License Status

CANCELLED

Business

First Name

JACEK

Middle

LOUIS

Last Name

UBAKA

Suffix

Business Name

JACEK LOUIS UBAKA MD

Original Issue Date

07/28/2009

Effective Date

07/28/2009

Expiration Date

07/27/2010

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/15/2009