PERVEZ ALI KHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051675

License Status

NOT RENEWED

Business

First Name

PERVEZ ALI

Last Name

KHAN

Suffix

Business Name

PERVEZ ALI KHAN MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

Expiration Date

07/31/2002

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/09/2006