ABDUL HASAN SIDDIQUI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

Title

First Name

ABDUL HASAN

Last Name

SIDDIQUI

Business Name

ABDUL HASAN SIDDIQUI MD

Original Issue Date

03/13/2019

Effective Date

09/16/2020

Expiration Date

07/31/2023

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023