PRABHA GUPTA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055398

License Status

INACTIVE

Business

First Name

PRABHA

Last Name

GUPTA

Suffix

Business Name

PRABHA GUPTA MD

Original Issue Date

08/11/1977

Effective Date

08/11/1977

Expiration Date

07/31/2005

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006