ANURAG GUPTA Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

CANCELLED

Business

First Name

ANURAG

Last Name

GUPTA

Business Name

ANURAG GUPTA

Original Issue Date

07/18/2008

Effective Date

07/18/2008

Expiration Date

09/30/2009

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2009