ELLA KHVAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

ELLA

Last Name

KHVAT

Suffix

Business Name

ELLA KHVAT MD

Original Issue Date

07/24/1984

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

INDIAN HEAD PARK

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021