The holder whose full name is Chacko, Jacob M.,come from Charlottesville VA,hold the Physician license(NO.01040905A) which status is Expired Non-Renewable.
| Name | Chacko, Jacob M. |
|---|---|
| License Number | 01040905A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Charlottesville |
| State | VA |