SAMIR GUPTA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110477

License Status

NOT RENEWED

Business

First Name

SAMIR

Last Name

GUPTA

Business Name

SAMIR GUPTA

Original Issue Date

11/20/2003

Effective Date

06/07/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021