MUSTAFA SIDDIQ ALI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

ACTIVE

Business

First Name

MUSTAFA

Middle

SIDDIQ

Last Name

ALI

Business Name

MUSTAFA SIDDIQ ALI

Original Issue Date

07/20/2022

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2024