MARIAM KHAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001015

License Status

INACTIVE

Business

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

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

10/30/2018