SHAHMIR AKBAR KHAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

SHAHMIR

Middle

AKBAR

Last Name

KHAN

Business Name

SHAHMIR AKBAR KHAN

Original Issue Date

04/18/2024

Effective Date

04/18/2024

Expiration Date

09/30/2024

City

JACKSONVILLE

State

Zip

32258

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025