NISSA SIDDIQI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034383

License Status

ACTIVE

Business

Title

DMD

First Name

NISSA

Last Name

SIDDIQI

Business Name

NISSA SIDDIQI DMD

Original Issue Date

06/13/2023

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

LOUISVILLE

State

Zip

40241

Ever Disciplined

LastModifiedDate

09/26/2024