ASMA SYED KHAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065066

License Status

CANCELLED

Business

Title

First Name

ASMA

Middle

SYED

Last Name

KHAN

Business Name

ASMA SYED KHAN DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/24/2015