CARL M KHALID Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

CARL

Middle

Last Name

KHALID

Business Name

CARL M KHALID

Original Issue Date

03/12/1984

Effective Date

03/12/1984

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005