AYAZ M KHAN OD Optometrist License verification

Business Entity

INACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****19

License Status

INACTIVE

Business

First Name

AYAZ M

Last Name

KHAN

Suffix

Business Name

AYAZ M KHAN OD

Original Issue Date

07/06/2010

Effective Date

01/12/2018

Expiration Date

09/30/2020

City

GENEVA

State

Zip

60134

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/04/2020