License holder summary

SIMON M CHACKO, JR is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for SIMON M CHACKO, JR is New Hyde Park NY 11040. This medical practitioner license is not current. The license was granted 03/17/2009 and expired on 08/31/2011.

Department of State

Board of Medicine

SIMON M CHACKO, JR
Graduate Medical Trainee
License number
MT194316
Date granted
03/17/2009
Date expires
08/31/2011
Class
Graduate Medical Trainee
Status
Inactive
Address
New Hyde Park NY 11040
medicinepa.com
ID 37525192
LAST UPDATED 2024-04-12 02:12:04 UTC

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