SHAJI MOHAMMED KHAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066201

License Status

CANCELLED

Business

Title

First Name

SHAJI

Middle

MOHAMMED

Last Name

KHAN

Business Name

SHAJI MOHAMMED KHAN DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

04/21/2015