ROOPAL BHAGWATPRASA THAKKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

ROOPAL

Middle

BHAGWATPRASA

Last Name

THAKKAR

Suffix

Business Name

ROOPAL BHAGWATPRASA THAKKAR MD

Original Issue Date

11/05/2004

Effective Date

11/05/2004

Expiration Date

07/31/2008

City

ABBOTT PARK

State

Zip

60064

County

LAKE

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

04/12/2017