MANSOOR ALI KHAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170516

License Status

ACTIVE

Business

Title

First Name

MANSOOR

Middle

ALI

Last Name

KHAN

Business Name

MANSOOR ALI KHAN MD

Original Issue Date

06/07/2024

Effective Date

06/07/2024

Expiration Date

07/31/2026

City

MAPLEWOOD

State

Zip

07040

Ever Disciplined

LastModifiedDate

04/04/2025