MANYA JYOTI GUPTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055018

License Status

CANCELLED

Business

Title

First Name

MANYA

Middle

JYOTI

Last Name

GUPTA

Business Name

MANYA JYOTI GUPTA MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

OAK PARK

State

Zip

60302

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/15/2008