LEENA K GUPTA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036201

License Status

CANCELLED

Business

First Name

LEENA

Middle

Last Name

GUPTA

Business Name

LEENA K GUPTA

Original Issue Date

05/20/1997

Effective Date

05/20/1997

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006