License holder summary

Israr Siddiqi is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Israr Siddiqi is Michiana Internal Medicine, PC, 625 EAST BRISTOL STREET, Suite B, Elkhart IN 46514-1365. This licensed professional license is current. The license was granted 11/21/2003 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Israr Siddiqi
Controlled Substance Registration - Physician
License number
01058354B
Date granted
11/21/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Michiana Internal Medicine, PC, 625 EAST BRISTOL STREET, Suite B, Elkhart IN 46514-1365
indianalicensing.org
ID 5847370
LAST UPDATED 2024-04-23 09:56:21 UTC

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