SACHIN GUPTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047958

License Status

CANCELLED

Business

First Name

SACHIN

Last Name

GUPTA

Suffix

Business Name

SACHIN GUPTA MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

City

EVANSTON

State

Zip

60202

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006