BASHARATH MOHAMMED ALI KHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131390

License Status

ACTIVE

Business

Title

First Name

BASHARATH

Middle

MOHAMMED ALI

Last Name

KHAN

Business Name

BASHARATH MOHAMMED ALI KHAN MD

Original Issue Date

09/13/2012

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

04/18/2023