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Licensing details for: PTL 14056

Name: Khachik, Adon

License Type: Postgraduate Training License

Primary Status: License Canceled Primary Status Definition

School Name: California University of Science and Medicine – School of Medicine

Graduation Year: 2023

Current Enrolled Postgraduate Training Program

Facility Name: HCA HEALTHCARE RIVERSIDE PROGRAM

City: Riverside

State: California

Speciality: Internal medicine

Start Date: 07/01/2023

Anticipated End Date: 06/30/2024

Address of Record

4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE county
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Issuance Date

December 21, 2023

Expiration Date

N/A

Current Date / Time

May 21, 2026
8:58:09 AM

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License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Postgraduate Training License

Related Party Role: Physician & Surgeon

Name: Khachik, Adon

License/Registration Type: Physician's and Surgeon's

License Number: 206685 Primary Status: License Renewed & Current

Address :
4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE COUNTY

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