GHOUSIA KHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045246

License Status

NOT RENEWED

Business

First Name

GHOUSIA

Last Name

KHAN

Suffix

Business Name

GHOUSIA KHAN MD

Original Issue Date

02/04/1972

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021