MAHWASH FATIMA SIDDIQUI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

MAHWASH

Middle

FATIMA

Last Name

SIDDIQUI

Business Name

MAHWASH FATIMA SIDDIQUI MD

Original Issue Date

06/10/2021

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023