AFFAAN KHAN BANGASH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

AFFAAN

Middle

KHAN

Last Name

BANGASH

Suffix

Business Name

AFFAAN KHAN BANGASH DO

Original Issue Date

09/26/2018

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023