SANJAYKUMAR A THAKKAR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

SANJAY

Middle

Last Name

THAKKAR

Business Name

SANJAYKUMAR A THAKKAR

Original Issue Date

05/22/2002

Effective Date

05/22/2002

Expiration Date

07/31/2008

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020