SURUCHI KAMALKANT GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143599

License Status

NOT RENEWED

Business

Title

First Name

SURUCHI

Middle

KAMALKANT

Last Name

GUPTA

Business Name

SURUCHI KAMALKANT GUPTA MD

Original Issue Date

06/21/2017

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021