MAITREYA BHALCHANDRA THAKKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

MAITREYA

Middle

BHALCHANDRA

Last Name

THAKKAR

Suffix

Business Name

MAITREYA BHALCHANDRA THAKKAR MD

Original Issue Date

04/06/1994

Effective Date

04/06/1994

Expiration Date

07/31/1996

City

FOREST PARK

State

Zip

60130

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006