NIRAV NARENDRA THAKKAR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

NIRAV

Middle

NARENDRA

Last Name

THAKKAR

Business Name

NIRAV NARENDRA THAKKAR

Original Issue Date

06/11/2013

Effective Date

06/11/2013

Expiration Date

07/31/2014

City

SAINT CHARLES

State

Zip

60175

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020