NISSA SIDDIQI DMD - Dentist License in Kentucky | # 31*****24

NISSA SIDDIQI DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

N

Title

DMD

First Name

NISSA

Last Name

SIDDIQI

Business Name

NISSA SIDDIQI DMD

Original Issue Date

07/24/2023

Effective Date

09/30/2024

Expiration Date

09/30/2027

State

KY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

09/30/2024