KRANTI GOLLAPUDI DASGUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

Title

First Name

KRANTI

Middle

GOLLAPUDI

Last Name

DASGUPTA

Business Name

KRANTI GOLLAPUDI DASGUPTA MD

Original Issue Date

07/16/2013

Effective Date

05/19/2017

Expiration Date

09/30/2020

City

DANVILLE

State

Zip

94506

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021