DHAVAL N THAKKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

DHAVAL

Middle

Last Name

THAKKAR

Suffix

Business Name

DHAVAL N THAKKAR MD

Original Issue Date

10/18/2000

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

SAINT CHARLES

State

Zip

60175

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023