GAUTAM GUPTA MD Medical Doctor License verification

GAUTAM GUPTA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

GAUTAM

Last Name

GUPTA

Suffix

Business Name

GAUTAM GUPTA MD

Original Issue Date

03/11/1997

Effective Date

04/25/2011

Expiration Date

07/31/2014

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

1997006156

Action

Probation

Discipline Start Date

05/14/1998

Discipline End Date

05/13/1999

Discipline Reason

Failed to properly apprise female patients of the procedures required in heart and lung examinations, and not being aware of inventory and record keeping requirements regarding dispensing of controlled substances.