FAZEEL MUKHTAR SIDDIQUI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053613

License Status

EXPIRED

Business

Title

First Name

FAZEEL

Middle

MUKHTAR

Last Name

SIDDIQUI

Business Name

FAZEEL MUKHTAR SIDDIQUI MD

Original Issue Date

06/26/2010

Effective Date

06/26/2010

Expiration Date

06/25/2011

City

WYOMING

State

Zip

49519

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

07/19/2011