MRIGANK SHEKHAR GUPTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

ACTIVE

Business

Title

First Name

MRIGANK

Middle

SHEKHAR

Last Name

GUPTA

Business Name

MRIGANK SHEKHAR GUPTA MD

Original Issue Date

08/26/2024

Effective Date

08/26/2024

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024