SHAUKAT A KHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

SHAUKAT A

Last Name

KHAN

Suffix

Business Name

SHAUKAT A KHAN MD

Original Issue Date

04/22/1985

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61612

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014