PAVAN KUMAR GUPTA DO - Medical Doctor License in Illinois | # 036154454

PAVAN KUMAR GUPTA DO

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154454

License Status

ACTIVE

Business

N

Title

DO

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

State

IL

Ever Disciplined

N

LastModifiedDate

04/06/2023