GHAZANFAR KHADIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093879

License Status

NOT RENEWED

Business

First Name

GHAZANFAR

Last Name

KHADIM

Suffix

Business Name

GHAZANFAR KHADIM MD

Original Issue Date

08/06/1996

Effective Date

05/01/2007

Expiration Date

07/31/2008

City

BROOKFIELD

State

Zip

53045

Ever Disciplined

LastModifiedDate

11/06/2008