KUNDAN L GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

KUNDAN L

Last Name

GUPTA

Suffix

Business Name

KUNDAN L GUPTA MD

Original Issue Date

08/23/1996

Effective Date

08/23/1996

Expiration Date

07/31/2002

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011