SAMIR KUMAR GUPTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

First Name

SAMIR

Middle

KUMAR

Last Name

GUPTA

Suffix

Business Name

SAMIR KUMAR GUPTA MD

Original Issue Date

07/20/1999

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023