FAZAL A KHAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

FAZAL

Middle

Last Name

KHAN

Business Name

FAZAL A KHAN

Original Issue Date

04/15/2002

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023