PRIYANKA GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106220

License Status

NOT RENEWED

Business

First Name

PRIYANKA

Last Name

GUPTA

Suffix

Business Name

PRIYANKA GUPTA MD

Original Issue Date

02/05/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008