SHRUTI GUPTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

SHRUTI

Last Name

GUPTA

Business Name

SHRUTI GUPTA MD

Original Issue Date

02/19/2015

Effective Date

08/20/2023

Expiration Date

07/31/2026

City

PALATINE

State

Zip

60067

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2023