MAITRAYA D THAKER Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

MAITRAYA D

Last Name

THAKER

Business Name

MAITRAYA D THAKER

Original Issue Date

09/18/1984

Effective Date

09/18/1984

Expiration Date

01/31/1987

City

ZION

State

Zip

60099

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006