BASHARATH ALI KHAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

BASHARATH

Middle

ALI

Last Name

KHAN

Business Name

BASHARATH ALI KHAN DO

Original Issue Date

07/31/2023

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60659

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/31/2023