FARIHA SIDDIQUI IMAM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

Title

DDS

First Name

FARIHA

Last Name

SIDDIQUI IMAM

Business Name

FARIHA SIDDIQUI IMAM DDS

Original Issue Date

06/01/2009

Effective Date

06/01/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60609

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012