SMITA GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118898

License Status

NOT RENEWED

Business

First Name

SMITA

Last Name

GUPTA

Suffix

Business Name

SMITA GUPTA MD

Original Issue Date

07/06/2007

Effective Date

06/18/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/14/2011