ADITYA PRASHAD GUPTA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

INACTIVE

Business

Title

DDS

First Name

ADITYA

Middle

PRASHAD

Last Name

GUPTA

Business Name

ADITYA PRASHAD GUPTA DDS

Original Issue Date

04/29/2019

Effective Date

10/11/2021

Expiration Date

09/30/2024

City

MONTVILLE

State

Zip

07045

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/24/2024