AKSHAY GUPTA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

CANCELLED

Business

First Name

AKSHAY

Last Name

GUPTA

Business Name

AKSHAY GUPTA

Original Issue Date

01/18/2008

Effective Date

01/18/2008

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008