ABDUL SAMAD KHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

ABDUL

Middle

SAMAD

Last Name

KHAN

Suffix

Business Name

ABDUL SAMAD KHAN MD

Original Issue Date

12/11/1998

Effective Date

12/11/1998

Expiration Date

07/31/2005

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006