MUSTAFA AHMED KHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

Title

First Name

MUSTAFA

Middle

AHMED

Last Name

KHAN

Business Name

MUSTAFA AHMED KHAN MD

Original Issue Date

01/09/2019

Effective Date

01/09/2019

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021