AWAIS HUSSAIN SIDDIQUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135496

License Status

NOT RENEWED

Business

Title

First Name

AWAIS

Middle

HUSSAIN

Last Name

SIDDIQUE

Business Name

AWAIS HUSSAIN SIDDIQUE MD

Original Issue Date

06/13/2014

Effective Date

08/16/2018

Expiration Date

09/30/2020

City

ELKHART LAKE

State

Zip

53020

Ever Disciplined

LastModifiedDate

01/14/2021