SAMIR GUPTA - Medical Doctor License in Illinois | # 036110477

SAMIR GUPTA

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110477

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021