RUTH CHACKO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060005

License Status

NOT RENEWED

Business

First Name

RUTH

Last Name

CHACKO

Suffix

Business Name

RUTH CHACKO MD

Original Issue Date

02/04/1980

Effective Date

02/04/1980

Expiration Date

07/31/1984

City

ST LOUIS

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006