GULAM M TAHER SIDDIQUI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

GULAM M TAHER

Last Name

SIDDIQUI

Suffix

Business Name

GULAM M TAHER SIDDIQUI MD

Original Issue Date

09/18/1986

Effective Date

09/18/1986

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60628

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020