PREEYA KSHETTRY GUPTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051147

License Status

EXPIRED

Business

First Name

PREEYA

Middle

KSHETTRY

Last Name

GUPTA

Suffix

Business Name

PREEYA KSHETTRY GUPTA MD

Original Issue Date

06/15/2006

Effective Date

06/15/2006

Expiration Date

06/14/2007

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2007