AMITA HARIVADAN THAKKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

Title

First Name

AMITA

Middle

HARIVADAN

Last Name

THAKKAR

Business Name

AMITA HARIVADAN THAKKAR MD

Original Issue Date

03/08/2010

Effective Date

07/20/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60642

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021