ABRAHAM P CHACKO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062554

License Status

EXPIRED

Business

First Name

ABRAHAM

Middle

Last Name

CHACKO

Suffix

Business Name

ABRAHAM P CHACKO DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

08/16/2016