KANCHAN GUPTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100468

License Status

ACTIVE

Business

First Name

KANCHAN

Last Name

GUPTA

Suffix

Business Name

KANCHAN GUPTA MD

Original Issue Date

06/29/1999

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/13/2023