MARIA KHATTAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062344

License Status

EXPIRED

Business

Title

First Name

MARIA

Last Name

KHATTAK

Business Name

MARIA KHATTAK MD

Original Issue Date

06/29/2012

Effective Date

06/29/2012

Expiration Date

06/28/2015

City

OTTAWA

State

Zip

61350

County

LA SALLE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/04/2015