ASHWANI KUMAR GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130651

License Status

NOT RENEWED

Business

Title

First Name

ASHWANI

Middle

KUMAR

Last Name

GUPTA

Business Name

ASHWANI KUMAR GUPTA MD

Original Issue Date

06/26/2012

Effective Date

06/26/2012

Expiration Date

07/31/2014

City

JACKSONVILLE

State

Zip

32256

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/17/2014