MANJU CHACKISSERY JOSEPH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

MANJU

Middle

CHACKISSERY

Last Name

JOSEPH

Suffix

Business Name

MANJU CHACKISSERY JOSEPH MD

Original Issue Date

07/22/2005

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023