BASHARATH ALI KHAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165738

License Status

ACTIVE

Business

Title

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

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

06/01/2023