SADIQ MOHYUDDIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

INACTIVE

Business

First Name

SADIQ

Last Name

MOHYUDDIN

Suffix

Business Name

SADIQ MOHYUDDIN MD

Original Issue Date

01/01/1997

Effective Date

04/26/2017

Expiration Date

09/30/2020

City

GODFREY

State

Zip

62035

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020