KULSOOM A KHAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103719

License Status

NOT RENEWED

Business

First Name

KULSOOM

Middle

Last Name

KHAN

Business Name

KULSOOM A KHAN

Original Issue Date

10/26/2000

Effective Date

10/26/2000

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/09/2012

Case Number

2012000592

Action

Refuse To Renew

Discipline Start Date

07/09/2012

Discipline Reason

after being disciplined by the state of Nebraska.