VISMAY JAGATKUMAR THAKKAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065557

License Status

EXPIRED

Business

First Name

VISMAY

Middle

JAGATKUMAR

Last Name

THAKKAR

Suffix

Business Name

VISMAY JAGATKUMAR THAKKAR MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2018

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

10/25/2018