AZIM J KHAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

AZIM J

Last Name

KHAN

Business Name

AZIM J KHAN

Original Issue Date

06/20/1996

Effective Date

06/20/1996

Expiration Date

07/31/2008

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008