FARIHA SIDDIQUI IMAM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

ACTIVE

Business

Title

DDS

First Name

FARIHA

Last Name

SIDDIQUI IMAM

Business Name

FARIHA SIDDIQUI IMAM DDS

Original Issue Date

12/22/2011

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024