FARZANA A KHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

Title

First Name

FARZANA A

Last Name

KHAN

Business Name

FARZANA A KHAN MD

Original Issue Date

05/16/2019

Effective Date

08/14/2020

Expiration Date

07/31/2023

City

EAST CHICAGO

State

Zip

46312

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023