RATIKA GUPTA MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****38

NOT RENEWED

N

MD

RATIKA

GUPTA

RATIKA GUPTA MD

08/04/2014

08/04/2014

07/31/2017

LAKE FOREST

IL

60045

LAKE

PRACTITIONER

II III IV V

N

11/01/2017