ATUL GUPTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063818

License Status

EXPIRED

Business

Title

First Name

ATUL

Last Name

GUPTA

Business Name

ATUL GUPTA MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

08/12/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

04/04/2016