OPAL K GUPTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063285

License Status

CANCELLED

Business

First Name

OPAL

Middle

Last Name

GUPTA

Suffix

Business Name

OPAL K GUPTA MD

Original Issue Date

06/23/2013

Effective Date

06/23/2013

Expiration Date

06/22/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014