EVA GUPTA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

Title

DDS

First Name

EVA

Last Name

GUPTA

Business Name

EVA GUPTA DDS

Original Issue Date

07/01/2011

Effective Date

11/18/2015

Expiration Date

09/30/2018

City

FOLSOM

State

Zip

95630

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018