DHAVAL THAKKAR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

DHAVAL

Last Name

THAKKAR

Business Name

DHAVAL THAKKAR

Original Issue Date

07/06/2009

Effective Date

07/06/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60609

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012