PAVAN KUMAR GUPTA MD - Medical Doctor License in Illinois | # 036130576

PAVAN KUMAR GUPTA MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130576

License Status

ACTIVE

Business

N

Title

MD

First Name

PAVAN

Middle

KUMAR

Last Name

GUPTA

Business Name

PAVAN KUMAR GUPTA MD

Original Issue Date

06/18/2012

Effective Date

07/27/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2023