SHALINA GUPTA-BURT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

SHALINA

Last Name

GUPTA-BURT

Suffix

Business Name

SHALINA GUPTA-BURT MD

Original Issue Date

08/10/1995

Effective Date

08/10/1995

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011