SUMAN GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109098

License Status

NOT RENEWED

Business

First Name

SUMAN

Last Name

GUPTA

Suffix

Business Name

SUMAN GUPTA MD

Original Issue Date

04/28/2003

Effective Date

07/30/2008

Expiration Date

07/31/2011

City

SOUTH DAYTONA

State

Zip

32119

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/14/2011