AMITA HARIVADAN THAKKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124890

License Status

NOT RENEWED

Business

Title

First Name

AMITA

Middle

HARIVADAN

Last Name

THAKKAR

Business Name

AMITA HARIVADAN THAKKAR MD

Original Issue Date

01/26/2010

Effective Date

07/20/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021