MOHAMMAD FASIHUDDIN SIDDIQUI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

MOHAMMAD

Middle

FASIHUDDIN

Last Name

SIDDIQUI

Suffix

Business Name

MOHAMMAD FASIHUDDIN SIDDIQUI MD

Original Issue Date

06/02/2009

Effective Date

06/02/2009

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011