HIMANSHI THAKKAR DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

ACTIVE

Business

First Name

HIMANSHI

Last Name

THAKKAR

Suffix

DDS

Business Name

HIMANSHI THAKKAR DDS

Original Issue Date

07/21/2023

Effective Date

06/05/2024

Expiration Date

09/30/2027

City

BELVIDERE

State

Zip

61008

County

BOONE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2024