PANKAJKUMAR N THAKKAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013030

License Status

EXPIRED

Business

First Name

PANKAJKUMAR

Middle

Last Name

THAKKAR

Suffix

Business Name

PANKAJKUMAR N THAKKAR MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006