MOEEN HAQUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080433

License Status

ACTIVE

Business

Title

First Name

MOEEN

Last Name

HAQUE

Business Name

MOEEN HAQUE MD

Original Issue Date

07/05/2022

Effective Date

07/05/2022

Expiration Date

07/04/2025

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/13/2025

Case Number

2024001204

Action

Permanent Inactive

Discipline Start Date

03/07/2025

Discipline Reason

temporary medical permit placed on permanent inactive status due to dismissal from SIU Family Medicine Residency Program in January 2024.