PRAVIN GUPTA MD - Medical Doctor License in Indiana | # 036069736

PRAVIN GUPTA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069736

License Status

INACTIVE

Business

N

First Name

PRAVIN

Last Name

GUPTA

Suffix

MD

Business Name

PRAVIN GUPTA MD

Original Issue Date

10/31/1984

Effective Date

10/31/1984

Expiration Date

07/31/2002

State

IN

Ever Disciplined

N

LastModifiedDate

11/05/2012