SHIVANI GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125961

License Status

NOT RENEWED

Business

First Name

SHIVANI

Last Name

GUPTA

Suffix

Business Name

SHIVANI GUPTA MD

Original Issue Date

06/08/2010

Effective Date

06/08/2010

Expiration Date

07/31/2011

City

BEVERLY HILLS

State

Zip

90210

County

COOK

Ever Disciplined

LastModifiedDate

09/21/2023