SIJU T CHACKO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101193

License Status

INACTIVE

Business

First Name

SIJU

Middle

Last Name

CHACKO

Suffix

Business Name

SIJU T CHACKO MD

Original Issue Date

09/01/1999

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/05/2020