BASHARATH ALI KHAN DO - Medical Doctor License in Illinois | # 036165738

BASHARATH ALI KHAN DO

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165738

License Status

ACTIVE

Business

N

Title

DO

First Name

BASHARATH

Middle

ALI

Last Name

KHAN

Business Name

BASHARATH ALI KHAN DO

Original Issue Date

07/05/2023

Effective Date

07/05/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

06/01/2023