SIJU T CHACKO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

SIJU

Middle

Last Name

CHACKO

Suffix

Business Name

SIJU T CHACKO MD

Original Issue Date

10/02/2000

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

DARIEN

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020