FAZAL A KHAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104590

License Status

ACTIVE

Business

First Name

FAZAL

Middle

Last Name

KHAN

Business Name

FAZAL A KHAN

Original Issue Date

04/25/2001

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/21/2023