MOHAMMED SIDDIQUE AHMED MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

Title

First Name

MOHAMMED

Middle

SIDDIQUE

Last Name

AHMED

Business Name

MOHAMMED SIDDIQUE AHMED MD

Original Issue Date

08/22/2017

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023