SHABAZ ALI KHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

Title

First Name

SHABAZ

Middle

ALI

Last Name

KHAN

Business Name

SHABAZ ALI KHAN MD

Original Issue Date

05/07/2021

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

HARVEY

State

Zip

60426

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2023