RAJENDRA KUMAR GUPTA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

RAJENDRA KUMAR

Last Name

GUPTA

Business Name

RAJENDRA KUMAR GUPTA

Original Issue Date

01/01/1997

Expiration Date

07/31/1999

City

CHESTER

State

Zip

62233

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020