AMBER IMTIAZ KHAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026549

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

IMTIAZ

Last Name

KHAN

Suffix

DMD

Business Name

AMBER IMTIAZ KHAN DMD

Original Issue Date

08/18/2004

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2010