Indiana
Professional Licensing Agency
Mohammed Wajid Siddiqi
Controlled Substance Registration - Physician
License number
01071589B
Date granted
08/15/2012
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Northshore Health Center, 6450 US Highway 6, Portage IN 46368
indianalicensing.org
ID 5911162
LAST UPDATED 2024-04-27 09:45:23 UTC
LAST UPDATED 2024-04-27 09:45:23 UTC
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