JASHVANTAL K THAKKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

JASHVANTAL K

Last Name

THAKKAR

Suffix

Business Name

JASHVANTAL K THAKKAR MD

Original Issue Date

12/24/1986

Effective Date

12/24/1986

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006