KRANTI GOLLAPUDI DASGUPTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058864

License Status

CANCELLED

Business

Title

First Name

KRANTI

Middle

GOLLAPUDI

Last Name

DASGUPTA

Business Name

KRANTI GOLLAPUDI DASGUPTA MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/24/2010