SIDDHARTH AJAY MUNSIF MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

Title

First Name

SIDDHARTH

Middle

AJAY

Last Name

MUNSIF

Business Name

SIDDHARTH AJAY MUNSIF MD

Original Issue Date

03/24/2015

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023