ANITA JACOB CHAZHIKATTU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015884

License Status

EXPIRED

Business

First Name

ANITA JACOB

Last Name

CHAZHIKATTU

Suffix

Business Name

ANITA JACOB CHAZHIKATTU MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1985

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006