FAZAL A KHAN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037608

License Status

CANCELLED

Business

First Name

FAZAL

Middle

Last Name

KHAN

Business Name

FAZAL A KHAN

Original Issue Date

05/11/1998

Effective Date

05/11/1998

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006