Idaho
Division of Occupational and Professional Licenses
Dr. T. ERIC SCHACKOW
Board Of Medicine
License number
M-9552
Date granted
04/07/2006
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
100 W CHESTNUT ST #2104 CHICAGO IL 60610
idaholicensing.com
ID 48329670
LAST UPDATED 2024-04-08 01:56:10 UTC
LAST UPDATED 2024-04-08 01:56:10 UTC
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