MARYAM SIDDIQUI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

Title

First Name

MARYAM

Last Name

SIDDIQUI

Business Name

MARYAM SIDDIQUI MD

Original Issue Date

09/19/2018

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

ROCK ISLAND

State

Zip

61201

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/31/2023