SHIRAZ A KHAISER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

SHIRAZ

Middle

Last Name

KHAISER

Business Name

SHIRAZ A KHAISER MD

Original Issue Date

01/07/2014

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61606

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023