MAGGIE E CHACKO - Medical Doctor License in Illinois | # 125033493

MAGGIE E CHACKO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033493

License Status

EXPIRED

Business

N

First Name

MAGGIE

Middle

E

Last Name

CHACKO

Business Name

MAGGIE E CHACKO

Original Issue Date

06/21/1995

Effective Date

06/21/1995

Expiration Date

01/12/1999

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006