SABA M KHAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

SABA

Middle

Last Name

KHAN

Business Name

SABA M KHAN

Original Issue Date

09/18/2007

Effective Date

09/18/2007

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60603

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009