ISMAT N KHAN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000599

License Status

INACTIVE

Business

First Name

ISMAT N

Last Name

KHAN

Business Name

ISMAT N KHAN

Original Issue Date

02/17/1994

Effective Date

02/17/1994

Expiration Date

03/01/2002

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006