SHANU GUPTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055513

License Status

CANCELLED

Business

Title

First Name

SHANU

Last Name

GUPTA

Business Name

SHANU GUPTA MD

Original Issue Date

07/08/2008

Effective Date

07/08/2008

Expiration Date

07/07/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/08/2008