EHTASHAM GUL KHATTAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061207

License Status

CANCELLED

Business

Title

First Name

EHTASHAM

Middle

GUL

Last Name

KHATTAK

Business Name

EHTASHAM GUL KHATTAK MD

Original Issue Date

06/27/2012

Effective Date

06/27/2012

Expiration Date

06/26/2015

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014