DASTAGIR A KHAN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083572

License Status

INACTIVE

Business

First Name

DASTAGIR A

Last Name

KHAN

Business Name

DASTAGIR A KHAN

Original Issue Date

09/30/1991

Effective Date

09/30/1991

Expiration Date

07/31/2005

City

ORANGE PARK

State

Zip

32003

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/09/2006