SAMIR K GUPTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030396

License Status

EXPIRED

Business

Title

First Name

SAMIR

Middle

Last Name

GUPTA

Business Name

SAMIR K GUPTA MD

Original Issue Date

06/17/1993

Effective Date

06/17/1993

Expiration Date

06/23/1997

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006