SOHAN K KHATIWADA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076153

License Status

NOT RENEWED

Business

Title

First Name

SOHAN

Middle

Last Name

KHATIWADA

Business Name

SOHAN K KHATIWADA MD

Original Issue Date

10/07/1987

Effective Date

05/23/2017

Expiration Date

09/30/2020

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

01/14/2021