MICHELLE P KHAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002295

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

KHAN

Business Name

MICHELLE P KHAN

Original Issue Date

08/18/2004

Effective Date

02/23/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012