SANOBER SALAM KHAN (Credential# 554650) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
SANOBER SALAM KHAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037060. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 10630 Grandview Drive, Palos Park, IL 60464. The current status is active.
| Licensee Name | SANOBER SALAM KHAN |
| Credential ID | 554650 |
| Credential Number | 1.037060 |
| Credential Type | Physician/Surgeon |
| Business Address |
10630 Grandview Drive Palos Park IL 60464 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1998-07-02 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 157379 | CSP.0027254 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2002-03-01 - 2003-02-28 | INACTIVE |
| Street Address | 10630 Grandview Drive |
| City | Palos Park |
| State | IL |
| Zip Code | 60464 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rafal A Banik | 34 N. Woodland Trail, Palos Park, IL 60464 | Architect | 2020-08-01 ~ 2021-07-31 |
| Dale R Wheeler | 139 Old Creek Road, Palos Park, IL 60464 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Linda Jafilan | 23 Cherrywood Dr, Palos Park, IL 60464 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Patricia C Fitzgibbons | 8 Old Timber Ln, Palos Park, IL 60464-1527 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Frank C Walczak II | 12312 S 86th Ave, Palos Park, IL 60464-1832 | Plumbing & Piping Unlimited Journeyperson | 2019-11-01 ~ 2020-10-31 |
| City | Palos Park |
| Zip Code | 60464 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Palos Park |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Zia U. Salam | 44 Crawford Rd, Westport, CT 06880-1824 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Yasser Salam Md | 395 Brittany Farms Rd, New Britain, CT 06053 | Physician/surgeon | 1997-10-07 ~ 1998-10-31 |
| Talal Khan | 785 Mix Ave Apt C, Hamden, CT 06514-2126 | Physician/surgeon | 2010-04-01 ~ 2011-03-31 |
| Siddiq A Khan | 212 138th Ave Nw, Andover, MN 55304-6761 | Physician/surgeon | ~ |
| Abdul T Khan Md | 183 Stonebridge Rd Apt #a, Woodstock, CT 06281 | Physician/surgeon | 2002-02-28 ~ 2003-02-28 |
| Shaukat A Khan Md | 15 Rainbow Rd, Bethany, CT 06524 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mohammad R Khan Md | 20 N Main St, Norwalk, CT 06854-2656 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Anwar M Khan Md | 241 Braeside Dr, Hamden, CT 06514 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Amjad A Khan | 122 W 43rd St, Bayonne, NJ 07002-2005 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Please comment or provide details below to improve the information on SANOBER SALAM KHAN.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).