PRASHANT GUPTA MD - Medical Doctor License in Illinois | # 036138919

PRASHANT GUPTA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138919

License Status

NOT RENEWED

Business

N

Title

MD

First Name

PRASHANT

Last Name

GUPTA

Business Name

PRASHANT GUPTA MD

Original Issue Date

08/12/2015

Effective Date

08/12/2015

Expiration Date

07/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017