FARHANA ALI KHAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051646

License Status

EXPIRED

Business

Title

First Name

FARHANA

Middle

ALI

Last Name

KHAN

Business Name

FARHANA ALI KHAN MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009