BASHARATH MOHAMMED ALI KHAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057884

License Status

CANCELLED

Business

Title

First Name

BASHARATH

Middle

MOHAMMED ALI

Last Name

KHAN

Business Name

BASHARATH MOHAMMED ALI KHAN MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/19/2010