SOPHIA B SIDDIQUI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

SOPHIA

Middle

Last Name

SIDDIQUI

Business Name

SOPHIA B SIDDIQUI

Original Issue Date

12/14/2000

Effective Date

12/14/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011