DIPALI D THAKKER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026825

License Status

NOT RENEWED

Business

First Name

DIPALI

Middle

Last Name

THAKKER

Suffix

DMD

Business Name

DIPALI D THAKKER DMD

Original Issue Date

07/19/2005

Effective Date

09/30/2021

Expiration Date

09/30/2024

City

SHILOH

State

Zip

62269

Ever Disciplined

LastModifiedDate

02/04/2025