OMAR MOHAMMED SIDDIQUI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

Title

First Name

OMAR

Middle

MOHAMMED

Last Name

SIDDIQUI

Business Name

OMAR MOHAMMED SIDDIQUI MD

Original Issue Date

06/20/2019

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023