GHANSHYAM S THAKKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

GHANSHYAM S

Last Name

THAKKAR

Suffix

Business Name

GHANSHYAM S THAKKAR MD

Original Issue Date

11/18/1985

Effective Date

11/18/1985

Expiration Date

07/31/1993

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020