BASHARATH MOHAMMED ALI KHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

Title

First Name

BASHARATH

Middle

MOHAMMED ALI

Last Name

KHAN

Business Name

BASHARATH MOHAMMED ALI KHAN MD

Original Issue Date

09/13/2012

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023