AVESH THAKER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074085

License Status

CANCELLED

Business

Title

First Name

AVESH

Last Name

THAKER

Business Name

AVESH THAKER DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

OAK BROOK

State

Zip

60523

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/16/2019