NIAZI R SIDHOM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025520

License Status

EXPIRED

Business

First Name

NIAZI

Middle

Last Name

SIDHOM

Business Name

NIAZI R SIDHOM

Original Issue Date

06/18/1990

Effective Date

06/18/1990

Expiration Date

06/30/1992

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006