DIPA SHARMA THAKKAR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

DIPA

Middle

SHARMA

Last Name

THAKKAR

Suffix

DDS

Business Name

DIPA SHARMA THAKKAR DDS

Original Issue Date

11/09/2009

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60661

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022