SAMUEL SHIMON KHAIRKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

Title

First Name

SAMUEL

Middle

SHIMON

Last Name

KHAIRKAR

Business Name

SAMUEL SHIMON KHAIRKAR MD

Original Issue Date

03/20/2015

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

OLNEY

State

Zip

62450

County

RICHLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021