HIMANSHI THAKKAR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

HIMANSHI

Last Name

THAKKAR

Suffix

DDS

Business Name

HIMANSHI THAKKAR DDS

Original Issue Date

09/17/2004

Effective Date

09/19/2018

Expiration Date

01/31/2022

City

BELVIDERE

State

Zip

61008

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022