SMRITHI-ANN F CHAKKALAKAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069611

License Status

CANCELLED

Business

Title

First Name

SMRITHI-ANN

Middle

Last Name

CHAKKALAKAL

Business Name

SMRITHI-ANN F CHAKKALAKAL MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/22/2019