FARAZ M KHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104414

License Status

NOT RENEWED

Business

First Name

FARAZ

Middle

Last Name

KHAN

Suffix

Business Name

FARAZ M KHAN MD

Original Issue Date

03/28/2001

Effective Date

03/28/2001

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006