MIR WAHAJUDDIN ALI KHAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

First Name

MIR WAHAJUDDIN

Middle

ALI

Last Name

KHAN

Business Name

MIR WAHAJUDDIN ALI KHAN

Original Issue Date

07/23/2013

Effective Date

06/28/2024

Expiration Date

09/30/2027

City

LOMBARD

State

Zip

60148

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2024