ANUPAM KUMAR GUPTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

ANUPAM

Middle

KUMAR

Last Name

GUPTA

Business Name

ANUPAM KUMAR GUPTA MD

Original Issue Date

09/10/2023

Effective Date

09/10/2023

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/10/2023