KAMRAN KHATTAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

KAMRAN

Last Name

KHATTAK

Suffix

Business Name

KAMRAN KHATTAK MD

Original Issue Date

01/25/2022

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

MYRTLE BEACH

State

Zip

29577

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023