VIBHABEN A THAKER 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

First Name

VIBHABEN

Middle

Last Name

THAKER

Business Name

VIBHABEN A THAKER

Original Issue Date

04/18/1989

Effective Date

04/18/1989

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006