ROOPAL BHAGWATPRASA THAKKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109884

License Status

NOT RENEWED

Business

First Name

ROOPAL

Middle

BHAGWATPRASA

Last Name

THAKKAR

Suffix

Business Name

ROOPAL BHAGWATPRASA THAKKAR MD

Original Issue Date

08/07/2003

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017