ULFAT S KHAN Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****73

License Status

NOT RENEWED

Business

First Name

ULFAT

Middle

Last Name

KHAN

Business Name

ULFAT S KHAN

Original Issue Date

10/15/2010

Effective Date

05/31/2022

Expiration Date

03/31/2024

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025