GULAM M TAHER SIDDIQUI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

GULAM M TAHER

Last Name

SIDDIQUI

Suffix

Business Name

GULAM M TAHER SIDDIQUI MD

Original Issue Date

01/12/1993

Effective Date

05/07/2023

Expiration Date

07/31/2026

City

LOMBARD

State

Zip

60148

County

GREENE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2023