SHELLY VIJAY GUPTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129049

License Status

ACTIVE

Business

Title

First Name

SHELLY

Middle

VIJAY

Last Name

GUPTA

Business Name

SHELLY VIJAY GUPTA MD

Original Issue Date

09/30/2011

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

04/07/2023