PERVEZ ALI KHAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

CANCELLED

Business

First Name

PERVEZ ALI

Last Name

KHAN

Suffix

Business Name

PERVEZ ALI KHAN MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

PERU

State

Zip

61354

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006