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| Physician Last Name: | Jakubiak | |
| Physician First Name: | Jerome | |
| Physician Middle Name: | V | |
| Address: | 2335 William Street Cheektowaga, NY 14225 | |
| License Number: | 090341 | |
| License Type: | MD | |
| Year of Birth: | 1935 | |
| Effective Date: | 08/24/2009 | |
| Action Description for DOH Webpage: | Permanent surrender issued pursuant to New York State Public Health Law Section 230.13. | |
| Misconduct Description for DOH Webpage: | This action is not disciplinary in nature | |
| License Limitations or Conditions for DOH Webpage: | ||
| Board Order: |
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