OMAR MOHAMMED SIDDIQUI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069011

License Status

CANCELLED

Business

Title

First Name

OMAR

Middle

MOHAMMED

Last Name

SIDDIQUI

Business Name

OMAR MOHAMMED SIDDIQUI MD

Original Issue Date

06/26/2016

Effective Date

06/26/2016

Expiration Date

06/25/2019

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/31/2016