MASOOD KHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

MASOOD

Last Name

KHAN

Suffix

Business Name

MASOOD KHAN MD

Original Issue Date

12/07/1999

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

GALESBURG

State

Zip

61401

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021