ATIF AHMED SIDDIQUE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157782

License Status

NOT RENEWED

Business

Title

First Name

ATIF

Middle

AHMED

Last Name

SIDDIQUE

Business Name

ATIF AHMED SIDDIQUE DO

Original Issue Date

07/21/2021

Effective Date

07/21/2021

Expiration Date

07/31/2023

City

KANKAKEE

State

Zip

60901

Ever Disciplined

LastModifiedDate

11/30/2023