SHABANA SIDDIQUI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134370

License Status

NOT RENEWED

Business

Title

First Name

SHABANA

Last Name

SIDDIQUI

Business Name

SHABANA SIDDIQUI MD

Original Issue Date

12/30/2013

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

SAVAGE

State

Zip

55378

County

MINNESOTA

Ever Disciplined

LastModifiedDate

01/14/2021