SIDHARTHA GUPTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056697

License Status

EXPIRED

Business

Title

First Name

SIDHARTHA

Last Name

GUPTA

Business Name

SIDHARTHA GUPTA MD

Original Issue Date

08/22/2012

Effective Date

08/22/2012

Expiration Date

10/21/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/11/2013

Case Number

2012007746

Action

Reprimand

Discipline Start Date

08/21/2012

Discipline Reason

for failure to report as required his leave of absence from Residency program for health and/or other reasons.