MICHAL JAKUB KUBIAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069401

License Status

EXPIRED

Business

Title

First Name

MICHAL

Middle

JAKUB

Last Name

KUBIAK

Business Name

MICHAL JAKUB KUBIAK MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/02/2019