MITAVA DIPESH THAKKAR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084241

License Status

ACTIVE

Business

First Name

MITAVA

Middle

DIPESH

Last Name

THAKKAR

Business Name

MITAVA DIPESH THAKKAR

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

06/06/2024