SANA KHAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

Title

DDS

First Name

SANA

Last Name

KHAN

Business Name

SANA KHAN DDS

Original Issue Date

01/22/2018

Effective Date

09/27/2018

Expiration Date

01/31/2022

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022