JUPIN ABRAHAM CHACKO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

JUPIN

Middle

ABRAHAM

Last Name

CHACKO

Business Name

JUPIN ABRAHAM CHACKO MD

Original Issue Date

03/16/2019

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023