FAZAL AB KHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

FAZAL

Middle

Last Name

KHAN

Business Name

FAZAL AB KHAN MD

Original Issue Date

02/21/2007

Effective Date

12/08/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020