MUMTAZ A SIDDIQUE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

ACTIVE

Business

First Name

MUMTAZ A

Last Name

SIDDIQUE

Business Name

MUMTAZ A SIDDIQUE

Original Issue Date

10/15/1991

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

HARVARD

State

Zip

60033

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024