RENU GUPTA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

RENU

Last Name

GUPTA

Business Name

RENU GUPTA

Original Issue Date

04/28/1992

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023