GHANSHYAM S THAKKAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017531

License Status

EXPIRED

Business

First Name

GHANSHYAM S

Last Name

THAKKAR

Suffix

Business Name

GHANSHYAM S THAKKAR MD

Original Issue Date

07/17/1984

Effective Date

07/17/1984

Expiration Date

06/21/1986

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006