SONIA MARY CHACKO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

SONIA

Middle

MARY

Last Name

CHACKO

Suffix

Business Name

SONIA MARY CHACKO MD

Original Issue Date

08/17/2005

Effective Date

08/17/2005

Expiration Date

07/31/2008

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008