JONATHAN KOPACZ JAKUBOWSKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072887

License Status

EXPIRED

Business

Title

First Name

JONATHAN

Middle

KOPACZ

Last Name

JAKUBOWSKI

Business Name

JONATHAN KOPACZ JAKUBOWSKI MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022