MUHAMMAD ASIM SIDDIQUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

MUHAMMAD

Middle

ASIM

Last Name

SIDDIQUE

Suffix

Business Name

MUHAMMAD ASIM SIDDIQUE MD

Original Issue Date

08/10/2007

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017