NISHA THAKRAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

NISHA

Last Name

THAKRAR

Suffix

Business Name

NISHA THAKRAR MD

Original Issue Date

07/29/1996

Effective Date

07/29/1996

Expiration Date

07/31/1999

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006