ATIF AHMED SIDDIQUE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072725

License Status

CANCELLED

Business

Title

First Name

ATIF

Middle

AHMED

Last Name

SIDDIQUE

Business Name

ATIF AHMED SIDDIQUE DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

KANKAKEE

State

Zip

60901

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/30/2018