MAHMOOD SIDDIQUI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

MAHMOOD

Last Name

SIDDIQUI

Business Name

MAHMOOD SIDDIQUI MD

Original Issue Date

06/19/2012

Effective Date

06/19/2012

Expiration Date

07/31/2014

City

PORTAGE

State

Zip

49024

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020