JULIANNA ROTH JAKUBOWSKI MD Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007355

License Status

INACTIVE

Business

Title

First Name

JULIANNA

Middle

ROTH

Last Name

JAKUBOWSKI

Business Name

JULIANNA ROTH JAKUBOWSKI MD

Original Issue Date

01/20/1993

Effective Date

01/20/1993

Expiration Date

09/30/2002

City

LAKE FOREST

State

Zip

60045

Ever Disciplined

LastModifiedDate

10/17/2005