RENU GUPTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

RENU

Last Name

GUPTA

Suffix

Business Name

RENU GUPTA MD

Original Issue Date

09/24/2003

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023