ASHUTOSH GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

ASHUTOSH

Last Name

GUPTA

Suffix

Business Name

ASHUTOSH GUPTA MD

Original Issue Date

03/23/1993

Effective Date

06/04/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60652

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020