BHAVESH KUMAR GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

BHAVESH

Middle

KUMAR

Last Name

GUPTA

Suffix

Business Name

BHAVESH KUMAR GUPTA MD

Original Issue Date

07/18/2000

Effective Date

07/18/2000

Expiration Date

07/31/2002

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006