KAVISH THAKKAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073198

License Status

CANCELLED

Business

Title

First Name

KAVISH

Last Name

THAKKAR

Business Name

KAVISH THAKKAR MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/30/2018