ANUJA THAKKAR WALSH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

Title

First Name

ANUJA

Middle

THAKKAR

Last Name

WALSH

Business Name

ANUJA THAKKAR WALSH DO

Original Issue Date

06/22/2010

Effective Date

10/24/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020