ATIQUE A KHAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020361

License Status

EXPIRED

Business

First Name

ATIQUE

Middle

Last Name

KHAN

Business Name

ATIQUE A KHAN

Original Issue Date

10/17/1986

Effective Date

10/17/1986

Expiration Date

10/01/1989

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006