JAMEEL AHMED KHAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

JAMEEL

Middle

AHMED

Last Name

KHAN

Suffix

DDS

Business Name

JAMEEL AHMED KHAN DDS

Original Issue Date

06/15/1999

Effective Date

06/15/1999

Expiration Date

09/30/2000

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/17/2005