IMAD ALI KHAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

IMAD

Middle

ALI

Last Name

KHAN

Business Name

IMAD ALI KHAN DO

Original Issue Date

12/24/2013

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023