Awais Hussain Siddique
ActiveMichigan license EMC0004621
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0004621
- Status
- Active
- First issued
- February 2, 2024
- Expires
- February 2, 2027
- License holder
- Awais Hussain Siddique
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
654 Birchwood Drive
Elkhart Lake, WI 53020
Elkhart Lake, WI 53020