SHAHEEN KHAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

SHAHEEN

Last Name

KHAN

Business Name

SHAHEEN KHAN

Original Issue Date

09/26/2011

Effective Date

08/25/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018