MOHAMMAD FASIHUDDIN SIDDIQUI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051873

License Status

CANCELLED

Business

First Name

MOHAMMAD

Middle

FASIHUDDIN

Last Name

SIDDIQUI

Suffix

Business Name

MOHAMMAD FASIHUDDIN SIDDIQUI MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/27/2009