JUPIN ABRAHAM CHACKO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068523

License Status

CANCELLED

Business

Title

First Name

JUPIN

Middle

ABRAHAM

Last Name

CHACKO

Business Name

JUPIN ABRAHAM CHACKO MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2019

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/18/2016