STEVE J CHACKO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072418

License Status

CANCELLED

Business

Title

First Name

STEVE

Middle

Last Name

CHACKO

Business Name

STEVE J CHACKO MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/19/2018