SAMIR GUPTA - Medical Doctor License in Illinois | # 125038677

SAMIR GUPTA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038677

License Status

EXPIRED

Business

N

First Name

SAMIR

Last Name

GUPTA

Business Name

SAMIR GUPTA

Original Issue Date

06/30/1998

Effective Date

06/30/1998

Expiration Date

06/30/2001

State

IL

Specialty/Qualifier

Dermatology

Ever Disciplined

N

LastModifiedDate

06/28/2007