MUMTAZ A SIDDIQUI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

MUMTAZ

Middle

Last Name

SIDDIQUI

Suffix

Business Name

MUMTAZ A SIDDIQUI MD

Original Issue Date

06/06/2002

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

OAKBROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023