MOMIN SAULAT SIDDIQUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137934

License Status

ACTIVE

Business

Title

First Name

MOMIN

Middle

SAULAT

Last Name

SIDDIQUE

Business Name

MOMIN SAULAT SIDDIQUE MD

Original Issue Date

05/05/2015

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/02/2023