RAJAN GUPTA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

RAJAN

Last Name

GUPTA

Business Name

RAJAN GUPTA

Original Issue Date

02/04/2022

Effective Date

02/04/2022

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/04/2025