SHUJAATALI M KHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065764

License Status

NOT RENEWED

Business

First Name

SHUJAATALI M

Last Name

KHAN

Suffix

Business Name

SHUJAATALI M KHAN MD

Original Issue Date

12/07/1982

Effective Date

12/07/1982

Expiration Date

07/31/1984

City

HORSEHEADS

State

Zip

14845

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006