KEVIN CHACKO VARGHESE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

CHACKO

Last Name

VARGHESE

Business Name

KEVIN CHACKO VARGHESE DO

Original Issue Date

08/05/2024

Effective Date

08/05/2024

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2024