DABIR A SIDDIQUI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

Title

First Name

DABIR

Middle

Last Name

SIDDIQUI

Business Name

DABIR A SIDDIQUI MD

Original Issue Date

06/17/2004

Effective Date

02/23/2010

Expiration Date

07/31/2011

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011