NIKHIL KUMAR GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141335

License Status

NOT RENEWED

Business

Title

First Name

NIKHIL

Middle

KUMAR

Last Name

GUPTA

Business Name

NIKHIL KUMAR GUPTA MD

Original Issue Date

07/26/2016

Effective Date

07/26/2016

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017