KANCHAN GUPTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

KANCHAN

Last Name

GUPTA

Suffix

Business Name

KANCHAN GUPTA MD

Original Issue Date

08/02/2001

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023