NAZIM A KHAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004580

License Status

NOT RENEWED

Business

First Name

NAZIM

Middle

Last Name

KHAN

Business Name

NAZIM A KHAN

Original Issue Date

11/29/2012

Effective Date

02/22/2020

Expiration Date

03/01/2022

City

EAST AMHERST

State

Zip

14051

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/27/2022