MOHAMMAD SHADAB SIDDIQUI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

MOHAMMAD

Middle

SHADAB

Last Name

SIDDIQUI

Suffix

Business Name

MOHAMMAD SHADAB SIDDIQUI MD

Original Issue Date

04/12/2011

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014