MARIAM KHAN - Dentist License in Illinois | # 137001015

MARIAM KHAN

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001015

License Status

INACTIVE

Business

N

First Name

MARIAM

Last Name

KHAN

Business Name

MARIAM KHAN

Original Issue Date

12/12/2018

Effective Date

12/12/2018

Expiration Date

09/30/2021

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

10/30/2018