AAYESHA M KHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

AAYESHA

Middle

Last Name

KHAN

Suffix

Business Name

AAYESHA M KHAN MD

Original Issue Date

12/01/2008

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014