FAREESA GHOUSIA KHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

FAREESA

Middle

GHOUSIA

Last Name

KHAN

Business Name

FAREESA GHOUSIA KHAN MD

Original Issue Date

05/11/2001

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023