SHANTI SIDDIQUI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059664

License Status

INACTIVE

Business

First Name

SHANTI

Last Name

SIDDIQUI

Suffix

Business Name

SHANTI SIDDIQUI MD

Original Issue Date

10/26/1979

Effective Date

06/03/2011

Expiration Date

07/31/2014

City

JACKSON

State

Zip

95642

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/08/2014