SUMBOL KHAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004005

License Status

NOT RENEWED

Business

First Name

SUMBOL

Last Name

KHAN

Business Name

SUMBOL KHAN

Original Issue Date

03/08/2011

Effective Date

03/03/2016

Expiration Date

03/01/2018

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018