SIRAJ ULHASSAN SIDDIQI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

SIRAJ

Middle

ULHASSAN

Last Name

SIDDIQI

Business Name

SIRAJ ULHASSAN SIDDIQI MD

Original Issue Date

11/15/2019

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023