ADITI GUPTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060535

License Status

CANCELLED

Business

Title

First Name

ADITI

Last Name

GUPTA

Business Name

ADITI GUPTA MD

Original Issue Date

07/05/2011

Effective Date

07/05/2011

Expiration Date

07/04/2014

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014