License holder summary

Siraj U Siddiqi is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Siraj U Siddiqi is IMMEDIATE CARE, 610 EASTERN BOULEVARD, Clarksville IN 47129. This licensed professional license is not current. The license was granted 07/17/2001 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Siraj U Siddiqi
Controlled Substance Registration - Physician
License number
01054418B
Date granted
07/17/2001
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
IMMEDIATE CARE, 610 EASTERN BOULEVARD, Clarksville IN 47129
indianalicensing.org
ID 5834845
LAST UPDATED 2024-04-29 14:21:55 UTC

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