MUSTARI KHAN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

CANCELLED

Business

First Name

MUSTARI

Last Name

KHAN

Business Name

MUSTARI KHAN

Original Issue Date

06/08/2004

Effective Date

06/08/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006