RAJ R GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

RAJ R

Last Name

GUPTA

Suffix

Business Name

RAJ R GUPTA MD

Original Issue Date

02/01/1983

Effective Date

02/01/1983

Expiration Date

07/31/1984

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006