EHTASHAM GUL KHATTAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

EHTASHAM

Middle

GUL

Last Name

KHATTAK

Business Name

EHTASHAM GUL KHATTAK MD

Original Issue Date

06/12/2015

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023