IZZA AFTAB KHAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057263

License Status

CANCELLED

Business

Title

First Name

IZZA

Middle

AFTAB

Last Name

KHAN

Business Name

IZZA AFTAB KHAN MD

Original Issue Date

08/21/2009

Effective Date

08/21/2009

Expiration Date

08/20/2012

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/21/2009