KEVIN A KHATER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

KHATER

Suffix

Business Name

KEVIN A KHATER MD

Original Issue Date

06/20/2007

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

OTTAWA

State

Zip

61350

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017