IRSHAD AHMED SIDDIQUI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056883

License Status

CANCELLED

Business

Title

First Name

IRSHAD

Middle

AHMED

Last Name

SIDDIQUI

Business Name

IRSHAD AHMED SIDDIQUI MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2012

City

CHAMPAIGN

State

Zip

61822

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/10/2009