MOHAMMED SHAFIUDDIN SIDDIQUI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

MOHAMMED

Middle

SHAFIUDDIN

Last Name

SIDDIQUI

Business Name

MOHAMMED SHAFIUDDIN SIDDIQUI MD

Original Issue Date

09/13/2012

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023