JUGAL RAJIV THAKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164967

License Status

ACTIVE

Business

Title

First Name

JUGAL

Middle

RAJIV

Last Name

THAKER

Business Name

JUGAL RAJIV THAKER MD

Original Issue Date

06/03/2023

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

06/03/2023