License Type:
Dentist
License Number:
2901601509
Name:
Mujtaba Khan
License Issue Date:
08/30/2022
License Expiration Date:
08/30/2025
License Status:
Active - In Late Renewal
County:
Washtenaw
City:
Ann Arbor
State or Province:
Michigan
ZIP or Postal Code:
48105
CS Record Number:
5315236038
CS Status:
CS Expiration Date: