PRASHANT GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138919

License Status

NOT RENEWED

Business

Title

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

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017