SHAHID ALI KHAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

CANCELLED

Business

First Name

SHAHID

Middle

ALI

Last Name

KHAN

Suffix

Business Name

SHAHID ALI KHAN MD

Original Issue Date

11/07/2001

Effective Date

11/07/2001

Expiration Date

07/31/2002

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006