CHUNG H KHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

CHUNG H

Last Name

KHAN

Suffix

Business Name

CHUNG H KHAN MD

Original Issue Date

01/01/1997

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

RED BUD

State

Zip

62278

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017