BASHARATH MOHAMMED ALI KHAN MD
Temporary Medical Permit
Illinois 125057884 Canceled
This Illinois license was held by BASHARATH MOHAMMED ALI KHAN MD. The license is no longer active. It was granted on 05/19/2010 and expired on 06/23/2013
LICENSE DETAILS
- License Number: 125057884
- Category: TEMPORARY MEDICAL PERMIT
- Status: Canceled
- Date Granted: 05/19/2010 (almost 14 years ago)
- Expiry Date: 06/23/2013 (almost 11 years ago)
LOCATIONS
A Address
LINCOLNWOOD, IL 60712