FARZANA Q SIDDIQUI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

FARZANA Q

Last Name

SIDDIQUI

Suffix

Business Name

FARZANA Q SIDDIQUI MD

Original Issue Date

07/17/1990

Effective Date

11/19/2008

Expiration Date

07/31/2011

City

EAST SAINT LOUIS

State

Zip

62203

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020