ANU GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

ANU

Last Name

GUPTA

Suffix

Business Name

ANU GUPTA MD

Original Issue Date

11/16/2009

Effective Date

04/15/2014

Expiration Date

07/31/2017

City

STICKNEY

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017