MARY J CHACKO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015223

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

CHACKO

Business Name

MARY J CHACKO

Original Issue Date

08/08/2006

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

WICHITA

State

Zip

67207

County

KANSAS

Ever Disciplined

LastModifiedDate

11/06/2008