VANDANA GUPTA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

VANDANA

Last Name

GUPTA

Suffix

DDS

Business Name

VANDANA GUPTA DDS

Original Issue Date

12/28/1994

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016