AMALA CHACKO MD - Medical Doctor License in Illinois | # 125076606

AMALA CHACKO MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076606

License Status

EXPIRED

Business

N

Title

MD

First Name

AMALA

Last Name

CHACKO

Business Name

AMALA CHACKO MD

Original Issue Date

06/22/2020

Effective Date

06/22/2020

Expiration Date

06/21/2023

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

03/06/2024