BARNALI D GUPTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

CANCELLED

Business

First Name

BARNALI

Middle

Last Name

GUPTA

Suffix

Business Name

BARNALI D GUPTA MD

Original Issue Date

02/20/2001

Effective Date

02/20/2001

Expiration Date

07/31/2005

City

HINES

State

Zip

60526

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006