MELISSA ANNE CHACKO MD - Medical Doctor License in Illinois | # 125054384

MELISSA ANNE CHACKO MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054384

License Status

EXPIRED

Business

N

Title

MD

First Name

MELISSA

Middle

ANNE

Last Name

CHACKO

Business Name

MELISSA ANNE CHACKO MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

07/15/2009