KHALID A SIDDIQUI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

KHALID A

Last Name

SIDDIQUI

Suffix

Business Name

KHALID A SIDDIQUI MD

Original Issue Date

10/28/1993

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023