OMAR A SIDDIQUI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064227

License Status

CANCELLED

Business

Title

First Name

OMAR

Middle

Last Name

SIDDIQUI

Business Name

OMAR A SIDDIQUI MD

Original Issue Date

01/31/2014

Effective Date

01/31/2014

Expiration Date

01/30/2017

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014