BALAJI K GUPTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022859

License Status

EXPIRED

Business

First Name

BALAJI K

Last Name

GUPTA

Suffix

Business Name

BALAJI K GUPTA MD

Original Issue Date

06/22/1988

Effective Date

06/22/1988

Expiration Date

06/22/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006