SHELLY VIJAY GUPTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

SHELLY

Middle

VIJAY

Last Name

GUPTA

Business Name

SHELLY VIJAY GUPTA MD

Original Issue Date

09/30/2011

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

VERNON HILLS

State

Zip

60061

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023