OPAL K GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

OPAL

Middle

Last Name

GUPTA

Suffix

Business Name

OPAL K GUPTA MD

Original Issue Date

05/19/2016

Effective Date

05/19/2016

Expiration Date

07/31/2017

City

CUPERTINO

State

Zip

95014

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020