MOHAMMAD FASIHUDDIN SIDDIQUI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123549

License Status

NOT RENEWED

Business

First Name

MOHAMMAD

Middle

FASIHUDDIN

Last Name

SIDDIQUI

Suffix

Business Name

MOHAMMAD FASIHUDDIN SIDDIQUI MD

Original Issue Date

05/27/2009

Effective Date

05/27/2009

Expiration Date

07/31/2011

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/14/2011