SHANU GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128667

License Status

NOT RENEWED

Business

Title

First Name

SHANU

Last Name

GUPTA

Business Name

SHANU GUPTA MD

Original Issue Date

08/01/2011

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021