MARIAM KHAN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031527

License Status

INACTIVE

Business

First Name

MARIAM

Last Name

KHAN

Business Name

MARIAM KHAN

Original Issue Date

02/28/2018

Effective Date

07/09/2018

Expiration Date

09/30/2021

City

NEW YORK

State

Zip

10017

Ever Disciplined

LastModifiedDate

07/09/2018