SUDHA R GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059888

License Status

NOT RENEWED

Business

First Name

SUDHA

Middle

Last Name

GUPTA

Suffix

Business Name

SUDHA R GUPTA MD

Original Issue Date

12/18/1979

Effective Date

05/15/2020

Expiration Date

07/31/2023

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/30/2023