ANIL GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065878

License Status

NOT RENEWED

Business

First Name

ANIL

Last Name

GUPTA

Suffix

Business Name

ANIL GUPTA MD

Original Issue Date

12/22/1982

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

1995009362

Action

Probation

Discipline Start Date

05/01/2006

Discipline End Date

10/28/2008

Discipline Reason

Violated his probation by testing positive for alcohol.