NITIN KUMAR GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

Title

First Name

NITIN

Middle

KUMAR

Last Name

GUPTA

Business Name

NITIN KUMAR GUPTA MD

Original Issue Date

09/12/2022

Effective Date

09/12/2022

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023