FAISAL AHMAD KHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

FAISAL

Middle

AHMAD

Last Name

KHAN

Suffix

Business Name

FAISAL AHMAD KHAN MD

Original Issue Date

08/31/2005

Effective Date

08/31/2005

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008