ATA URREHMAN SIDDIQUI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

First Name

ATA URREHMAN

Last Name

SIDDIQUI

Business Name

ATA URREHMAN SIDDIQUI

Original Issue Date

11/14/1996

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

O'FALON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023