SHIZA KHAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

Title

DDS

First Name

SHIZA

Last Name

KHAN

Business Name

SHIZA KHAN DDS

Original Issue Date

12/16/2016

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

PHILADELPHIA

State

Zip

19131

County

PENNSYLVANIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022