PARAG BHAILAL THAKKAR MD 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

PARAG

Middle

BHAILAL

Last Name

THAKKAR

Suffix

Business Name

PARAG BHAILAL THAKKAR MD

Original Issue Date

06/13/2002

Effective Date

06/13/2002

Expiration Date

07/31/2005

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020