BRENT S JAKUBEC MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

BRENT

Middle

Last Name

JAKUBEC

Business Name

BRENT S JAKUBEC MD

Original Issue Date

08/11/2020

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

ANNA

State

Zip

62906

County

UNION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023