FAZEEL MUKHTAR SIDDIQUI MD - Medical Doctor License in Michigan | # 125053613

FAZEEL MUKHTAR SIDDIQUI MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053613

License Status

EXPIRED

Business

N

Title

MD

First Name

FAZEEL

Middle

MUKHTAR

Last Name

SIDDIQUI

Business Name

FAZEEL MUKHTAR SIDDIQUI MD

Original Issue Date

06/26/2010

Effective Date

06/26/2010

Expiration Date

06/25/2011

State

MI

Specialty/Qualifier

Neurology

Ever Disciplined

N

LastModifiedDate

07/19/2011