SUSHANE GUPTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159430

License Status

ACTIVE

Business

Title

First Name

SUSHANE

Last Name

GUPTA

Business Name

SUSHANE GUPTA MD

Original Issue Date

02/10/2022

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/06/2023