PUJA GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116509

License Status

NOT RENEWED

Business

First Name

PUJA

Last Name

GUPTA

Suffix

Business Name

PUJA GUPTA MD

Original Issue Date

07/17/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/06/2008