SAMARDEEP GUPTA - Medical Doctor License in Illinois | # 125033174

SAMARDEEP GUPTA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033174

License Status

EXPIRED

Business

N

First Name

SAMARDEEP

Last Name

GUPTA

Business Name

SAMARDEEP GUPTA

Original Issue Date

06/08/1995

Effective Date

06/08/1995

Expiration Date

06/26/1998

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006