DEVEN VIJAY GUPTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083717

License Status

ACTIVE

Business

Title

First Name

DEVEN

Middle

VIJAY

Last Name

GUPTA

Business Name

DEVEN VIJAY GUPTA MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

06/23/2027

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Pathology - Anatomic and Clinical

Ever Disciplined

LastModifiedDate

05/16/2024