MEHNAZ ALI KHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

MEHNAZ

Middle

ALI

Last Name

KHAN

Suffix

Business Name

MEHNAZ ALI KHAN MD

Original Issue Date

08/19/2009

Effective Date

08/19/2009

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011