CHUNG H KHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045245

License Status

NOT RENEWED

Business

First Name

CHUNG H

Last Name

KHAN

Suffix

Business Name

CHUNG H KHAN MD

Original Issue Date

02/04/1972

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

11/01/2017