SHAN SIDDIQI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073032

License Status

CANCELLED

Business

Title

First Name

SHAN

Last Name

SIDDIQI

Business Name

SHAN SIDDIQI MD

Original Issue Date

02/13/2020

Effective Date

02/13/2020

Expiration Date

06/30/2021

City

MIAMI BEACH

State

Zip

33140

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

02/06/2020