ASHUTOSH GUPTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

ASHUTOSH

Last Name

GUPTA

Suffix

Business Name

ASHUTOSH GUPTA MD

Original Issue Date

05/25/1993

Effective Date

05/25/1993

Expiration Date

07/31/1996

City

BLUE ISLAND

State

Zip

60406

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020