SHIPRA GUPTA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****34

NOT RENEWED

N

MD

SHIPRA

GUPTA

SHIPRA GUPTA MD

07/18/2018

08/03/2020

07/31/2023

BLOOMINGDALE

IL

60108

DUPAGE

PRACTITIONER

II III IV V

N

11/30/2023