MASOOD ALI KHAN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053242

License Status

CANCELLED

Business

First Name

MASOOD

Middle

ALI

Last Name

KHAN

Business Name

MASOOD ALI KHAN

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/24/2007