ANITA GUPTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055209

License Status

CANCELLED

Business

Title

First Name

ANITA

Last Name

GUPTA

Business Name

ANITA GUPTA MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

HIGHLAND PARK

State

Zip

60035

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/30/2008