SUMBOL KHAN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

INOPERATIVE

Business

First Name

SUMBOL

Last Name

KHAN

Business Name

SUMBOL KHAN

Original Issue Date

09/20/2011

Effective Date

02/27/2014

Expiration Date

03/01/2016

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

02/27/2014