KHAWAR M SIDDIQUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

KHAWAR

Middle

Last Name

SIDDIQUE

Suffix

Business Name

KHAWAR M SIDDIQUE MD

Original Issue Date

07/05/2001

Effective Date

07/05/2001

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008