SALIL KUMAR GUPTA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

SALIL KUMAR

Last Name

GUPTA

Business Name

SALIL KUMAR GUPTA

Original Issue Date

07/27/1993

Effective Date

09/28/2016

Expiration Date

07/31/2017

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017