NUSRAT ALI 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

NUSRAT

Middle

ALI

Last Name

KHAN

Suffix

Business Name

NUSRAT ALI KHAN MD

Original Issue Date

01/11/2002

Effective Date

01/11/2002

Expiration Date

07/31/2008

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/11/2017