KANCHAN GUPTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035338

License Status

EXPIRED

Business

First Name

KANCHAN

Last Name

GUPTA

Suffix

Business Name

KANCHAN GUPTA MD

Original Issue Date

07/03/1996

Effective Date

07/03/1996

Expiration Date

06/30/1999

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006