DEVANG TULSIDAS THAKKAR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

DEVANG

Middle

TULSIDAS

Last Name

THAKKAR

Business Name

DEVANG TULSIDAS THAKKAR

Original Issue Date

08/31/2006

Effective Date

08/07/2009

Expiration Date

09/30/2012

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012