MANJUSHA A GUPTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103582

License Status

NOT RENEWED

Business

First Name

MANJUSHA

Middle

Last Name

GUPTE

Suffix

Business Name

MANJUSHA A GUPTE MD

Original Issue Date

10/02/2000

Effective Date

10/02/2000

Expiration Date

07/31/2005

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/29/2025