PAVAN KUMAR GUPTA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154454

License Status

ACTIVE

Business

Title

First Name

PAVAN

Middle

KUMAR

Last Name

GUPTA

Business Name

PAVAN KUMAR GUPTA DO

Original Issue Date

10/06/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023