IMAD ALI KHAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

IMAD

Middle

ALI

Last Name

KHAN

Business Name

IMAD ALI KHAN DO

Original Issue Date

06/28/2023

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

TONICA

State

Zip

61370

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023