AMANULLAH KHAN PATHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

AMANULLAH KHAN

Last Name

PATHAN

Suffix

Business Name

AMANULLAH KHAN PATHAN MD

Original Issue Date

01/01/1997

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023