FAZEEL MUKHTAR SIDDIQUI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132058

License Status

ACTIVE

Business

Title

First Name

FAZEEL

Middle

MUKHTAR

Last Name

SIDDIQUI

Business Name

FAZEEL MUKHTAR SIDDIQUI MD

Original Issue Date

03/11/2013

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

WYOMING

State

Zip

49519

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/20/2023