KISAN PANKAJ THAKKAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082088

License Status

EXPIRED

Business

Title

First Name

KISAN

Middle

PANKAJ

Last Name

THAKKAR

Business Name

KISAN PANKAJ THAKKAR MD

Original Issue Date

06/25/2023

Effective Date

06/25/2023

Expiration Date

06/24/2024

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/30/2024