HIDAYATHULLA KHAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

ACTIVE

Business

Title

DMD

First Name

HIDAYATHULLA

Last Name

KHAN

Business Name

HIDAYATHULLA KHAN DMD

Original Issue Date

05/24/2016

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

JOLIET

State

Zip

60432

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2024