ANN CHACKO WINNY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

CANCELLED

Business

First Name

ANN CHACKO

Last Name

WINNY

Suffix

Business Name

ANN CHACKO WINNY MD

Original Issue Date

01/14/1991

Effective Date

01/14/1991

Expiration Date

07/31/2005

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006