KAMLESH BABUBHAI THAKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

KAMLESH

Middle

BABUBHAI

Last Name

THAKER

Business Name

KAMLESH BABUBHAI THAKER MD

Original Issue Date

03/17/2023

Effective Date

03/17/2023

Expiration Date

07/31/2023

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023