VIVEK ANAND GUPTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

CANCELLED

Business

First Name

VIVEK

Middle

ANAND

Last Name

GUPTA

Suffix

Business Name

VIVEK ANAND GUPTA MD

Original Issue Date

07/17/2006

Effective Date

07/17/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020