The holder whose full name is JAKUBOWSKI, ALEKSANDER,come from MERRILLVILLE IN,hold the CSR-Physician license(NO.01031671B) which status is Expired.
| Name | JAKUBOWSKI, ALEKSANDER |
|---|---|
| License Number | 01031671B |
| License Type | CSR-Physician |
| License Status | Expired |
| City | MERRILLVILLE |
| State | IN |