NITYANAND D GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

NITYANAND

Middle

Last Name

GUPTA

Suffix

Business Name

NITYANAND D GUPTA MD

Original Issue Date

10/24/2007

Effective Date

10/24/2007

Expiration Date

07/31/2008

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017