DIPTI GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130892

License Status

NOT RENEWED

Business

Title

First Name

DIPTI

Last Name

GUPTA

Business Name

DIPTI GUPTA MD

Original Issue Date

07/18/2012

Effective Date

07/18/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014