SHUJAATALI M KHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

SHUJAATALI M

Last Name

KHAN

Suffix

Business Name

SHUJAATALI M KHAN MD

Original Issue Date

03/11/1983

Effective Date

03/11/1983

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006