ANEESH GUPTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

ANEESH

Last Name

GUPTA

Business Name

ANEESH GUPTA MD

Original Issue Date

09/13/2024

Effective Date

09/13/2024

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62902

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/13/2024